Individual
MR. NICHOLAS J SANSONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW, LICDC, CADC
Contact information
Practice address
676 S FLOYD ST LOWR LEVEL, LOUISVILLE, KY 40202-1840
(502) 629-2500
(502) 629-2055
Mailing address
PO BOX 776347, CHICAGO, IL 60677-6347
(502) 588-9490
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
121116
OH
104100000X
Social Worker
253535
KY
1041C0700X
Clinical Social Worker
Primary
257416
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023434008
—
OH
05
—
7100863250
—
KY
Enumeration date
03/13/2014
Last updated
08/19/2025
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