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NPI Code Detail

MEDICARE: NICOLE THORP MSW, LCSW

MEDICARE: NICOLE THORP MSW, 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
11041C0700XClinical Social WorkerSW140513PA

General Provider Information

NPI Number : 1538003801
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE THORP MSW, LCSW
Provider Business Mailing Address
First Line : 111 ELWYN RD
Second Line :
City : MEDIA
State : PA
Zip : 19063-4622
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 111 ELWYN RD
Second Line :
City : MEDIA
State : PA
Zip : 19063-4622
Country : US
Telephone Number : 610-891-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2026
Last Update Date : 04/16/2026

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