Individual
ELIZABETH ANN NICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1001 SPRING ST, #110, SILVER SPRING, MD 20910-4022
(301) 495-9523
(301) 587-0217
Mailing address
1001 SPRING ST, #110, SILVER SPRING, MD 20910-4022
(301) 495-9523
(301) 587-0217
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2776
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24408
MAMSI
MD
01
—
4354
CAREFIRST
MD
Enumeration date
05/01/2007
Last updated
07/08/2007
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