Individual
NICOLE PODOLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
715 HILL ST STE 270, MADISON, WI 53705-3572
(608) 501-3361
Mailing address
715 HILL ST STE 270, MADISON, WI 53705-3572
(608) 501-3361
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
9999-123
WI
1041C0700X
Clinical Social Worker
Primary
9999-123
WI
251S00000X
Community/Behavioral Health Agency
9999-123
WI
Other
Enumeration date
07/15/2022
Last updated
07/26/2024
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