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NPI Code Detail

MEDICARE: MRS. VALERIE JEANNE MCNICHOLL LCSW

MEDICARE: MRS. VALERIE JEANNE MCNICHOLL 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 Worker075561-1NY
21041C0700XClinical Social WorkerCW017894PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710016282
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VALERIE JEANNE MCNICHOLL LCSW
Provider Business Mailing Address
First Line : 200 N 7TH ST
Second Line :
City : LEBANON
State : PA
Zip : 17046-5040
Country : US
Telephone Number : 717-272-5464
Fax Number : 717-273-1416
Provider Business Practice Location Address
First Line : 825 EDEN RD
Second Line :
City : LANCASTER
State : PA
Zip : 17601-4713
Country : US
Telephone Number : 518-542-1374
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 05/26/2021

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