Frisch-Taylor, Nickie
Frisch-Taylor, Nickie is an individual health care provider with primary practice located at 1600 S Main St , Lebanon OR 97355-3109. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Frisch-Taylor, Nickie can be contacted via phone (541) 451-5932.Contact Information
Primary practice address
1600 S Main St
Lebanon OR 97355-3109
Phone: (541) 451-5932
Fax: (541) 258-5704
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L2587 | Oregon |
Profile Details
NPI number | 1902935521 |
---|---|
LBN Legal business name | Frisch-Taylor, Nickie |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 2nd, 2007 |
Last updated | Oct 14th, 2014 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902935521 | NPPES |
Oregon | MEDICAID | 197749 |
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