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Individual
NICOLE MARY PODGORSKI
Active
Individual
NICOLE MARY PODGORSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162430
—
104100000X
Social Worker
1600701
OH
1041C0700X
Clinical Social Worker
Primary
I.2506872
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0262708
—
OH
Enumeration date
09/06/2017
Last updated
07/22/2025
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