Nico Q Squadroni, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34005225A Issued in IN

Practice address

1 Plaza Dr
#6
Pendleton, IN 46064-8823

Phone

(765) 778-0380

Fax

(765) 778-8328

NPI assigned

Sep 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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)

Not enrolled

State licenses

Practice roles

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.

• Adams Counseling & Assessment, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Pendleton, IN
  • NPI 1538203997
  NPD (past)
• Adams Counseling and Assessment

  • Mental Health Counselor
  • Pendleton, IN
  • NPI 1467560102
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235239450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PLAZA DR",
            "address_2": "#6",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460648823",
            "telephone_number": "765-778-0380",
            "fax_number": "765-778-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PLAZA DR",
            "address_2": "#6",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460648823",
            "telephone_number": "765-778-0380",
            "fax_number": "765-778-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUADRONI",
        "first_name": "NICO",
        "middle_name": "Q",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005225A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael V Smith Jr., PH.D.
• South Madison Community School Corporation
• Jennifer A Southard, D.D.S.
• Susan Spencer, ED.D.
• Payton Spoor
• St. Vincent Medical Group, Inc. (Ascension Medical Group St. Vincent)
• St.Vincent Home Health-Anderson, LLC (Ascension at Home)
• Stephen Stashevsky, PT, DPT
• Stately Construction LLC
• John Andrew Steel, PTA

• Clinical Social Worker in Pendleton, IN
• Providers in Pendleton, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.