MEDICARE: NICHOLE KAZARICK 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
1	1041C0700X	Clinical Social Worker	CW018884	PA

General Provider Information

NPI Number	:	1558808899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLE KAZARICK LCSW

Provider Business Mailing Address
First Line	:	2850 ARDSLEY AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15226-2110
Country	:	US
Telephone Number	:	231-349-2716
Fax Number	:

Provider Business Practice Location Address
First Line	:	1569 MCFARLAND RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15216-1808
Country	:	US
Telephone Number	:	231-349-2716
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2017
Last Update Date	:	11/26/2025

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