Healthcare Provider Details

I. General information

NPI: 1215849229
Provider Name (Legal Business Name): NICHOLE HUFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E PRATT ST FL 8
BALTIMORE MD
21202-3180
US

IV. Provider business mailing address

2261 MARKET ST # 86158
SAN FRANCISCO CA
94114-1612
US

V. Phone/Fax

Practice location:
  • Phone: 443-543-8367
  • Fax: 410-914-8674
Mailing address:
  • Phone: 443-543-8367
  • Fax: 410-914-8674

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number35462
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: