Individual
NICOLETTE LEE MACHADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5600 S 59TH ST, SUITE 104, LINCOLN, NE 68516-2386
(814) 215-9590
Mailing address
5600 S 59TH ST, SUITE 104, LINCOLN, NE 68516-2386
(814) 215-9590
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4099
NE
104100000X
Social Worker
Primary
1462
NE
104100000X
Social Worker
SW127142
PA
1041C0700X
Clinical Social Worker
CW017288
PA
Other
Enumeration date
05/19/2009
Last updated
08/16/2012
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