Active NPI
Nicole Chinnici, MSW, LCSW
- Clinical Social Worker
- Wellington, FL
National Provider Identifier
1255968632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14370
- Practice address
- 12777 Forest Hill Blvd Ste 1501
Wellington, FL 33414-4775 - Phone
- (561) 385-2331
- NPI assigned
- Mar 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14370 | FL | Primary |
Addresses
Primary practice location
12777 Forest Hill Blvd Ste 1501
Wellington, FL 33414-4775
Mailing address
158 Queens LN
Royal Palm Beach, FL 33411-1576
Phone (561) 385-2331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14370 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585094400000",
"number": "1255968632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 QUEENS LN",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334111576",
"telephone_number": "561-385-2331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12777 FOREST HILL BLVD STE 1501",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334144775",
"telephone_number": "561-385-2331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINNICI",
"first_name": "NICOLE",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-25",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "14370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.