Nicole Marie Assi, LCSW

Individual provider Active NPI Clinical Social Worker · Hanover, PA

NPI 1508375650 · NPPES record last updated Apr 14, 2022

Key facts

NPI
1508375650
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
CW022269 (PA)
Practice address
11 Carlisle St Ste 304
Hanover, PA 17331-2472
Phone
(717) 819-9818
NPI assigned
Sep 20, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
22091MDMDSocial Worker
SW134042PAMDSocial Worker
CW022269PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Soul Meets Body Treatment Center, LLC Current
since Sep 12, 2021
Accepting new patients

Locations

11 Carlisle St
Ste 304
Hanover, PA 17331
Phone (717) 819-9818

11 Carlisle St
Ste 205
Hanover, PA 17331
Phone (717) 819-9818

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 22091 MD
Social Worker 104100000X SW134042 PA
Clinical Social Worker 1041C0700X CW022269 PA Yes

Addresses

Primary practice location

11 Carlisle St Ste 304
Hanover, PA 17331-2472

Mailing address

11 Carlisle St Ste 304
Hanover, PA 17331-2472
Phone (717) 819-9818

Other names

  • Nicole Marie Schools Former name

Other providers in Hanover, PA

All providers in Hanover, PA · Clinical Social Worker in Pennsylvania

Sources for this page

Verify at the official NPI Registry.