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Individual
NICOLE PHILLIPS
Active
Individual
NICOLE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICSW1141431
MA
101YM0800X
Mental Health Counselor
LICSW1141431
MA
104100000X
Social Worker
229960
MA
1041C0700X
Clinical Social Worker
229960
MA
1041C0700X
Clinical Social Worker
Primary
LICSW1141431
MA
Other
Enumeration date
10/09/2023
Last updated
03/25/2026
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