Dr Nicole Woller, PHD, LCSW is a
Social Worker - Clinical based in Belleview, Florida. Dr Nicole Woller is licensed to practice in Florida (license number SW8553) and her current practice location is
5818 Se Agnew Rd, Belleview, Florida. She can be reached at her office (for appointments etc.) via phone at
(561) 706-1004.
NPI number for Dr Nicole Woller is 1881735819 and her current mailing address is 2735 Se 140th Pl, Summerfield, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881735819.
Healthcare Provider's Profile
| Full Name | Dr Nicole Woller |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 5818 Se Agnew Rd, Belleview, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1881735819
- Provider Enumeration Date: 02/11/2007
- Last Update Date: 04/22/2020
Medical Identifiers
Medical identifiers for Dr Nicole Woller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881735819 | NPI | - | NPPES |
| 11758162 | Other | FL | CAQH |
| 767023100 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Secondary |
| 103TF0200X | Psychologist - Forensic | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW8553 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicole Woller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Nicole Woller, PHD, LCSW
2735 Se 140th Pl,
Summerfield, FL 34491-2877
Ph: (561) 715-5910 | Dr Nicole Woller, PHD, LCSW
5818 Se Agnew Rd,
Belleview, FL 34420-4020
Ph: (561) 706-1004 |
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