Organization
NEW NORMAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE E NICOLOSI LCSW (OWNER)
(502) 680-1932
Entity
Organization
Contact information
Practice address
1055 DOVE RUN RD STE 215, LEXINGTON, KY 40502-3536
(502) 680-1932
Mailing address
269 ABBEY RD, VERSAILLES, KY 40383-8063
(502) 680-1932
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100937160
—
KY
Enumeration date
07/19/2023
Last updated
02/04/2026
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