Healthcare Provider Details

I. General information

NPI: 1447550611
Provider Name (Legal Business Name): NICOLE PATRICE ARNOLD LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2010
Last Update Date: 10/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 E 16TH ST
NEW YORK NY
10003-3105
US

IV. Provider business mailing address

PO BOX 10087
NEW YORK NY
10259-6911
US

V. Phone/Fax

Practice location:
  • Phone: 212-924-7744
  • Fax: 212-691-2786
Mailing address:
  • Phone: 800-444-6020
  • Fax: 845-256-1881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number080297
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: