Nickless, Vivian Elaine

Nickless, Vivian Elaine is an individual health care provider with primary practice located at 109 North Main St , North Syracuse NY 13212. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Nickless, Vivian Elaine can be contacted via phone (315) 452-6808.

Contact Information

Primary practice address
109 North Main St North Syracuse NY 13212
Phone: (315) 452-6808
Fax: (315) 452-6810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X R026808 New York

Profile Details

NPI number 1891876629
LBN Legal business name Nickless, Vivian Elaine
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jul 8th, 2007 - about 18 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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