Nicole Nicholson, LCSW

NPI 1760847024 · on the registry since 2015

Practice

Address: 3132 Old Jacksonville Rd
Suite 200
Springfield, IL 62704
Phone: (217) 862-0800
Organisation at this address: Walgreen Co.
Alternative Care Services
Memorial Expresscare, Llc
Memorial Physician Services
Memorial Physician Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 98

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-12-30

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 Illinois