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Organization
THIMBLE SHOALS COUNSELING & THERAPY CENTER PC
Active
Organization
THIMBLE SHOALS COUNSELING & THERAPY CENTER PC
Active
Other names
Susan C Nicholson PhD, LCSW dba Thimble Shoals Counseling & Therapy Ce
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN C NICHOLSON CSW (OWNER, PRESIDENT)
(757) 869-2361
Entity
Organization
Contact information
Practice address
703 THIMBLE SHOALS BLVD, A3, NEWPORT NEWS, VA 23606-2576
(757) 873-3401
(757) 223-1165
Mailing address
203 WOODBURNE LN, NEWPORT NEWS, VA 23602-8363
(757) 869-2361
(757) 223-1165
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003048
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034810
VALUE OPTIONS
VA
01
—
081419
SENTARA
VA
05
—
1033138227
—
VA
01
—
118556
ANTHEM
VA
01
—
2130368
CIGNA
—
01
—
228979000
MAGELLAN
VA
01
—
413584
MHN
VA
01
—
567827
MAMSI
VA
01
—
5774587
AETNA
VA
Enumeration date
07/19/2006
Last updated
06/25/2008
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