Healthcare Provider Details

I. General information

NPI: 1184276834
Provider Name (Legal Business Name): NICOLE HARVEY LCSW-C, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2019
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8609 2ND AVE # 404
SILVER SPRING MD
20910-3360
US

IV. Provider business mailing address

8609 2ND AVE # 404
SILVER SPRING MD
20910-3360
US

V. Phone/Fax

Practice location:
  • Phone: 410-701-0446
  • Fax:
Mailing address:
  • Phone: 410-701-0446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number23084
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC200005003
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: