Search › Maryland › 1041C0700X
Ethan Nicholas, LCSW, LAC, LMSW
NPI 1518350222 · on the registry since 2015
Practice
- Address
- 2480 Llewellyn Ave
Fort Meade, MD 20755 - Phone
- (301) 677-8895
- Organisation at this address
- Kacc
Ft Meade Meddac
Ft Meade Meddac
Kimbrough Acc Military Mtf
Kimbrough Ambulatory Care CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 124
Additional practice sites
- 5593 Highway 311, Houma, LA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
104100000X - Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-22
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 Maryland