Nickell, Cheryl Lynn
Nickell, Cheryl Lynn is an sole proprietor health care provider with primary practice located at 100 N Edward Gary St Ste 104B , San Marcos TX 78666-5710. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Nickell, Cheryl Lynn can be contacted via phone (512) 256-3835.Contact Information
Primary practice address
100 N Edward Gary St Ste 104B
San Marcos TX 78666-5710
Phone: (512) 256-3835
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 33719 | Texas |
Profile Details
| NPI number | 1801922240 |
|---|---|
| LBN Legal business name | Nickell, Cheryl Lynn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jan 3rd, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801922240 | NPPES |
| Texas | MEDICAID | 1591117 |
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