Barksdale, Nicole

Barksdale, Nicole is an sole proprietor health care provider with primary practice located at 21633 Avenue 24 , Chowchilla CA 93610-9650. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Barksdale, Nicole can be contacted via phone (559) 665-6100.

Contact Information

Primary practice address
21633 Avenue 24 Chowchilla CA 93610-9650
Phone: (559) 665-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 79968 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 79968 California

Profile Details

NPI number 1922126697
LBN Legal business name Barksdale, Nicole
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2007
Last updated May 27th, 2022 - about 3 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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