Healthcare Provider Details
I. General information
NPI: 1114388915
Provider Name (Legal Business Name): NICOLEE HEYL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/08/2016
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
250 MOUNT LEBANON BLVD STE 320
PITTSBURGH PA
15234-1248
US
IV. Provider business mailing address
250 MOUNT LEBANON BLVD STE 320
PITTSBURGH PA
15234-1248
US
V. Phone/Fax
- Phone: 412-254-3321
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | CW019845 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 0904018684 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: