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NPI Code Detail

MEDICARE: MS. NICOLE MCCUTCHAN

MEDICARE: MS. NICOLE MCCUTCHAN
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 WorkerSW16539FL

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 : 1801297221
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NICOLE MCCUTCHAN
Provider Business Mailing Address
First Line : 3815 W SAN CARLOS ST
Second Line :
City : TAMPA
State : FL
Zip : 33629-6821
Country : US
Telephone Number : 813-410-7816
Fax Number :
Provider Business Practice Location Address
First Line : 225 N MICHIGAN AVE STE 1430
Second Line :
City : CHICAGO
State : IL
Zip : 60601-7653
Country : US
Telephone Number : 312-766-6780
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2014
Last Update Date : 03/23/2022

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Directions to “ MS. NICOLE MCCUTCHAN ” Practice Location

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