Active NPI
Nicole Dechirico, LCSW-C
- Clinical Social Worker
- Ellicott City, MD
National Provider Identifier
1992068118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14432
- Practice address
- 5058 Dorsey Hall Dr
Suite 103
Ellicott City, MD 21042-7849 - Phone
- (443) 840-6496
- NPI assigned
- Jun 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14432 | MD | Primary |
Addresses
Primary practice location
5058 Dorsey Hall Dr
Suite 103
Ellicott City, MD 21042-7849
Mailing address
5058 Dorsey Hall Dr
Suite 103
Ellicott City, MD 21042-7849
Phone (443) 840-6496
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14432 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481155200000",
"number": "1992068118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5058 DORSEY HALL DR",
"address_2": "SUITE 103",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210427849",
"telephone_number": "443-840-6496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5058 DORSEY HALL DR",
"address_2": "SUITE 103",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210427849",
"telephone_number": "443-840-6496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECHIRICO",
"first_name": "NICOLE",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-21",
"last_updated": "2016-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "14432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.