Individual
AMY NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
11350 MCCORMICK RD STE 800, HUNT VALLEY, MD 21031-1002
(410) 800-2169
Mailing address
11350 MCCORMICK RD STE 800, HUNT VALLEY, MD 21031-1002
(410) 800-2169
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14213
MD
1041C0700X
Clinical Social Worker
Q1-0012254
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259147-000
MAGELLAN BEHAVIORAL HEALTH
MD
01
—
346646
MHN
MD
05
—
609550001
—
MD
01
—
7840093
AETNA
MD
01
—
LM49EA
CAREFIRST OF MARYLAND
MD
01
—
R968
CAREFIRST FEDERAL
MD
Enumeration date
05/13/2014
Last updated
03/11/2025
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