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NPI Code Detail

MEDICARE: NICOLE OLIVIA CRAWFORD LCSW

MEDICARE: NICOLE OLIVIA CRAWFORD LCSW
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 WorkerSW11304FL

General Provider Information

NPI Number : 1407298870
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE OLIVIA CRAWFORD LCSW
Provider Business Mailing Address
First Line : 100 E PINE ST STE 110
Second Line :
City : ORLANDO
State : FL
Zip : 32801-2759
Country : US
Telephone Number : 813-922-5335
Fax Number :
Provider Business Practice Location Address
First Line : 100 E PINE ST STE 110
Second Line :
City : ORLANDO
State : FL
Zip : 32801-2759
Country : US
Telephone Number : 813-922-5335
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2013
Last Update Date : 02/02/2026

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Directions to “ NICOLE OLIVIA CRAWFORD LCSW” Practice Location

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