Healthcare Provider Details

I. General information

NPI: 1669390316
Provider Name (Legal Business Name): NICOLE LLOYD LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 S ARLINGTON ST
AKRON OH
44306-3750
US

IV. Provider business mailing address

PO BOX 933132
CLEVELAND OH
44193-0036
US

V. Phone/Fax

Practice location:
  • Phone: 888-975-9188
  • Fax:
Mailing address:
  • Phone: 888-975-9188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2613739
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: