Healthcare Provider Details

I. General information

NPI: 1407871346
Provider Name (Legal Business Name): NANCY KATHERINE CIOCCI MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 E KING ST SUITE C
HILLSBOROUGH NC
27278-2570
US

IV. Provider business mailing address

386 SAINT MARYS RD
HILLSBOROUGH NC
27278-2523
US

V. Phone/Fax

Practice location:
  • Phone: 919-245-0451
  • Fax: 919-245-0452
Mailing address:
  • Phone: 919-245-0451
  • Fax: 919-245-0452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC002453
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: