Tara Nickle

NPI 1346636826 · on the registry since 2015

Practice

Address: 1479 Collins Ave.
Ohio Reformatory For Women
Marysville, OH 43040
Phone: (937) 642-1065
Organisation at this address: Ohio Penal Industries
Premier Care Of Ohio, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: Clinical Social Worker
1041C0700X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-04-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio