Nicole Nuwayhid, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4800C Issued in AL

Practice address

650 Sun Temple Dr
Madison, AL 35758-8621

Phone

(256) 503-2171

NPI assigned

Aug 24, 2021

Last updated

Aug 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anchor of Hope LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, AL
  • NPI 1114695384
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1225705643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 IVYLEAF DR NW",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357575901",
            "telephone_number": "256-503-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 SUN TEMPLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588621",
            "telephone_number": "256-503-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUWAYHID",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4800C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Star Counseling Services, LLC
• Northline Processing LLC
• Christopher Nozum, PT, DPT
• Makayla Nunley, RD
• Nutrition, LLC
• Keyli O'Neal
• Kealan O'Neill, D.O.
• Laura Beth O'Rear, FNP-C
• Oasis Counseling Services, LLC
• Oasis Dental Services

• Clinical Social Worker in Madison, AL
• Providers in Madison, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.