Robyn Lynne Olsen-Nicotra, LCSW
Individual provider Active NPI Clinical Social Worker · Spencer, NC
NPI 1356473649 · NPPES record last updated Jan 10, 2011
Key facts
- NPI
- 1356473649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C005510 (NC)
- Practice address
- 415 S Iredell Ave
Spencer, NC 28159-2228 - Phone
- (856) 803-0129
- NPI assigned
- Mar 12, 2007
- 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 | C005510 | NC | Yes |
Addresses
Primary practice location
415 S Iredell Ave
Spencer, NC 28159-2228
Mailing address
415 S Iredell Ave
Spencer, NC 28159-2228
Phone (856) 803-0129
Other providers in Spencer, NC
- Amber Grace Murray
- Denise Shand Naclerio
- New Beginnings Home Service
- Brandi Cheri Nuriddin-Jones
- Maureen Nwozo
- Angie D Padon
- Elizabeth Queen
- Donald Floyd Rankin
- Residence Care Service LLC
- Residence Care Services LLC
All providers in Spencer, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2011. 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.