Individual
NICOLE WEANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
743 W MCLELLAN BLVD, PHOENIX, AZ 85013-1032
(917) 900-6623
Mailing address
743 W MCLELLAN BLVD, PHOENIX, AZ 85013-1032
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW23818
AZ
104100000X
Social Worker
Primary
LMSW-08064T
AZ
Other
Enumeration date
09/26/2023
Last updated
05/28/2026
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