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NPI Code Detail

MEDICARE: NICHOLE SIESEL MSW, LSW

MEDICARE: NICHOLE SIESEL MSW, LSW
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
1390200000XStudent in an Organized Health Care Education/Training ProgramS.2202288-TRNEOH
21041C0700XClinical Social WorkerI.2608243OH
3104100000XSocial WorkerS.2309287OH

General Provider Information

NPI Number : 1770209850
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLE SIESEL MSW, LSW
Provider Business Mailing Address
First Line : 1925 HAYES AVE
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-4737
Country : US
Telephone Number : 419-557-5177
Fax Number :
Provider Business Practice Location Address
First Line : 1925 HAYES AVE
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-4737
Country : US
Telephone Number : 419-557-5177
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2022
Last Update Date : 06/09/2026

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