Individual provider Active NPI

Nicole Marie Assi, LCSW

  • Clinical Social Worker
  • Hanover, PA
National Provider Identifier
1508375650
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW022269 Issued in PA
Practice address
11 Carlisle St Ste 304
Hanover, PA 17331-2472
Phone
(717) 819-9818
NPI assigned
Sep 20, 2017
Last updated
Apr 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

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

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 1

  • Nicole Marie Schools Former name

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

LicenseStateTypeSpecialty
22091MDMDSocial Worker
SW134042PAMDSocial Worker
CW022269PAMDClinical Social Worker

Practice roles

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

Locations

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1508375650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CARLISLE ST STE 304",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312472",
            "telephone_number": "717-819-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CARLISLE ST STE 304",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173312472",
            "telephone_number": "717-819-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSI",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "22091",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW134042",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SCHOOLS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.