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General NPI Number Information
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NPI Number | 1699943472
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Entity Type | Individual
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Provider Name | NICHOLAS HEATH LCSW
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Gender | Male
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Dates
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Enumeration Date | 02/14/2008
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 66 CANAL ST 4TH FLOOR BAY COVE HUMAN SERVICES
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City | BOSTON
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State | MA
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Zip | 02114
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Country | US
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Telephone | 617-371-3147
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Fax |
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Provider Business Mailing Address
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Address Line | 2 COURTHOUSE LANE SUITE 3
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City | CHELMSFORD
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State | MA
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Zip | 01824
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Country | US
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Telephone | 978-275-9444
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Fax | 978-275-9918
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 215620
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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