Debra E. Nicolosi

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

8961 Daniels Center Dr Ste 401
Fort Myers, FL 33912-0314

Phone

(239) 223-4595

NPI assigned

Apr 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1952424491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14928 BONAIRE CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339081898",
            "telephone_number": "239-223-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8961 DANIELS CENTER DR STE 401",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339120314",
            "telephone_number": "239-223-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLOSI",
        "first_name": "DEBRA",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "ITDS",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly A Nicholson, MD
• Antonio Nickel, PA-C
• Ryan Nickens, D.C.
• Diane Nicolette
• Tricia Lynne Nicolette, MS, CCC-SLP
• Kelly Marie Nicolosi, OTR
• Joseph Nicotra, M.D.
• Samantha Elizabeth Nicotra
• Alexis Lauren Niemann
• Gabriel Nieto

• Social Worker in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.