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NPI Code Detail

MEDICARE: NAZMA NILES LCSW

MEDICARE:   NAZMA  NILES  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorSW21689FL

General Provider Information

NPI Number : 1023797719
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAZMA NILES LCSW
Provider Business Mailing Address
First Line : 2743 1ST ST
Second Line :
City : FORT MYERS
State : FL
Zip : 33916-1830
Country : US
Telephone Number : 401-203-5247
Fax Number :
Provider Business Practice Location Address
First Line : 2743 1ST ST
Second Line :
City : FORT MYERS
State : FL
Zip : 33916-1830
Country : US
Telephone Number : 631-312-4846
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2023
Last Update Date : 07/09/2024

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Directions to “ NAZMA NILES LCSW” Practice Location

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