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DR. NICOLE WOLLER PH.D. LCSW NPI 1881735819


NPI Information

NPI: 1881735819
Provider Name: DR. NICOLE WOLLER, PH.D., LCSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
5818 SE AGNEW RD
BELLEVIEW, FL
ZIP 34420
Phone: (561) 706-1004
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DR. Nicole Woller, PH.D., LCSW is a clinical social worker in Belleview, FL. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. DR. Nicole Woller, PH.D., LCSW NPI is 1881735819. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5818 SE AGNEW RD
BELLEVIEW, FL
ZIP 34420-020
Phone: (561) 706-1004
Fax: (561) 892-0268

The enumeration date for this NPI number is 2/11/2007 and was last updated on 4/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistNo
2103TB0200XPsychologistCognitive & BehavioralNo
3103TF0200XPsychologistForensicNo
41041C0700XSocial WorkerClinicalSW8553FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1767023100MEDICAIDFLORIDA
211758162OTHERFLORIDACAQH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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