Woolery, Nicole Renee

Woolery, Nicole Renee is an sole proprietor health care provider with primary practice located at 8479 S Mason Montgomery Rd Ste 4 , Mason OH 45040-4023. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Woolery, Nicole Renee can be contacted via phone (513) 443-2415.

Contact Information

Primary practice address
8479 S Mason Montgomery Rd Ste 4 Mason OH 45040-4023
Phone: (513) 443-2415
Fax: (513) 725-1141
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X S . 0600518 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.1100167 Ohio

Profile Details

NPI number 1285937227
LBN Legal business name Woolery, Nicole Renee
Credentials LISW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2010
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285937227 NPPES
Ohio MEDICAID 0166013

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