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NPI Code Detail

MEDICARE: NICOLE LINDSAY THOMA LICSW

MEDICARE:   NICOLE LINDSAY THOMA  LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLW61445366WA

General Provider Information

NPI Number : 1225814650
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE LINDSAY THOMA LICSW
Provider Business Mailing Address
First Line : 130 NICKERSON ST STE 305
Second Line :
City : SEATTLE
State : WA
Zip : 98109-1658
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 130 NICKERSON ST STE 305
Second Line :
City : SEATTLE
State : WA
Zip : 98109-1658
Country : US
Telephone Number : 206-681-7586
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2023
Last Update Date : 04/17/2026

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Directions to “ NICOLE LINDSAY THOMA LICSW” Practice Location

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