Heath, Nicholas

Heath, Nicholas is an individual health care provider with primary practice located at 66 Canal St 4Th Floor Bay Cove Human Services, Boston MA 02114. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Heath, Nicholas can be contacted via phone (617) 371-3147.

Contact Information

Primary practice address
66 Canal St 4Th Floor Bay Cove Human Services Boston MA 02114
Phone: (617) 371-3147
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 215620 Massachusetts

Profile Details

NPI number 1699943472
LBN Legal business name Heath, Nicholas
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2008
Last updated Jun 3rd, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699943472 NPPES
Massachusetts MEDICAID 110109359

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