Nancy Sickle Antoon
Individual provider Active NPI Clinical Social Worker · Weaverville, CA
NPI 1962540484 · NPPES record last updated Oct 3, 2008
Key facts
- NPI
- 1962540484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW 7971 (CA)
- Practice address
- 1450 Main St
Weaverville, CA 96093 - Phone
- (530) 623-8293
- Fax
- (530) 623-1447
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW 7971 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW 7971 | CA | Yes |
Addresses
Primary practice location
1450 Main St
Weaverville, CA 96093
Mailing address
PO Box 1640
Weaverville, CA 96093-1640
Phone (530) 623-8293
Other names
- Nancy Sickle-Mabry
Other providers in Weaverville, CA
- Ronald W Alleson
- Amy Renee Alward
- Claudine Andrade
- Jiraporn Dow Angspatt
- Julia Lynn Ashton-Boyd
- Carolyn Atterberry
- Melissa Anne Daluz Avila
- Mary Baracco
- Katie Ziser Barone
All providers in Weaverville, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2008. 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.