Nicole Marie Colone, LMSW
Individual provider Active NPI Clinical Social Worker · South Lyon, MI
NPI 1164067187 · NPPES record last updated Jan 6, 2021
Key facts
- NPI
- 1164067187
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801080104 (MI)
- Practice address
- 127 N Lafayette St
South Lyon, MI 48178-1210 - Phone
- (248) 807-1092
- NPI assigned
- Nov 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801080104 | MI | Yes |
Addresses
Primary practice location
127 N Lafayette St
South Lyon, MI 48178-1210
Mailing address
435 Highland Ave
Milford, MI 48381-1845
Phone (248) 807-1092
Other providers in South Lyon, MI
- Clarity Advanced Eyecare, PLLC
- Clarity Oakland SL, PLLC
- Clarity Vision Plus, PLLC
- Angela Marie Clay
- Natalie Marie Cochenour
- Comprehensive Vision Center P.C.
- Leslie Gayle Condon
- Michelle Conforti
- Brooke Corbin
- Aaron Corte
All providers in South Lyon, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.