Individual
MRS. NICOLE MARCANTONIO PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
391 SERPENTINE DR, SPARTANBURG, SC 29303-3096
(864) 560-7517
(864) 560-7520
Mailing address
391 SERPENTINE DR, SPARTANBURG, SC 29303-3096
(864) 560-7517
(864) 560-7520
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9630
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q654317652
MEDICARE PIN
SC
05
—
SW1623
—
SC
Enumeration date
02/08/2012
Last updated
10/31/2019
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