Nicollette Rose Airhart, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW019852 Issued in PA

Practice address

1819 John F Kennedy Blvd Ste 302
Philadelphia, PA 19103-1729

Phone

(330) 495-8763

NPI assigned

Mar 9, 2018

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1508369141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2686 TILTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191254017",
            "telephone_number": "330-495-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 JOHN F KENNEDY BLVD STE 302",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031729",
            "telephone_number": "330-495-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIRHART",
        "first_name": "NICOLLETTE",
        "middle_name": "ROSE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Aini, MD
• Jessica Ainooson, MD
• Miriam Aioub, MD
• Subha Lakshmi Airan-Javia, MD
• Suren Airapetian
• Laura Kathleen Aisenberg
• Michael Aisin-Gioro
• Eric Charles Aita
• Camille Aitcheson
• Nancy Aitcheson, MD

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.