Ackerman, Nicole A

Ackerman, Nicole A is an individual health care provider with primary practice located at 6140 S Broadway , Lorain OH 44053-3821. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ackerman, Nicole A can be contacted via phone (440) 233-7232.

Contact Information

Primary practice address
6140 S Broadway Lorain OH 44053-3821
Phone: (440) 233-7232
Fax: (440) 404-4315
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X S.0500656 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.1801332 Ohio

Profile Details

NPI number 1477782514
LBN Legal business name Ackerman, Nicole A
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2009
Last updated May 15th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477782514 NPPES
Ohio MEDICAID ECFMG
Ohio MEDICAID 0268768

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