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Individual
NICOLE MOODY-LLOYD
Active
Individual
NICOLE MOODY-LLOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
VA
101YP2500X
Professional Counselor
Primary
0904015151
VA
1041C0700X
Clinical Social Worker
0904015151
VA
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
VA
05
—
101YP2500X
—
VA
Enumeration date
12/12/2019
Last updated
10/21/2025
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