MEDICARE: NICOLE STANINA 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
2	1041C0700X	Clinical Social Worker	22783	FL
3	104100000X	Social Worker
4	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1740778885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE STANINA LCSW

Provider Business Mailing Address
First Line	:	26246 WESLEY CHAPEL BLVD # 2007
Second Line	:
City	:	LUTZ
State	:	FL
Zip	:	33559-7206
Country	:	US
Telephone Number	:	813-543-6391
Fax Number	:

Provider Business Practice Location Address
First Line	:	26246 WESLEY CHAPEL BLVD # 2007
Second Line	:
City	:	LUTZ
State	:	FL
Zip	:	33559-7206
Country	:	US
Telephone Number	:	813-543-6391
Fax Number	:

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

Provider Enumeration Date	:	04/24/2018
Last Update Date	:	12/03/2025

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Directions to “ NICOLE STANINA LCSW” Practice Location

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