Individual
DAVID L. NICKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W., L.C.S.W.
Contact information
Practice address
101 CABARRUS AVE E STE 200, CONCORD, NC 28025-3781
(888) 849-7379
(855) 857-7333
Mailing address
101 CABARRUS AVE E STE 200, CONCORD, NC 28025-3781
(888) 849-7379
(855) 857-7333
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C001740
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146CW
BCBS
NC
01
—
477039
HUMANA GOLD CHOICE
NC
05
—
6003647
—
NC
Enumeration date
08/18/2006
Last updated
08/06/2019
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