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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NIKOLE BOSTON, LCSW

Active

NIKOLE BOSTON, LCSW is a Clinical Social Worker healthcare provider located in SHADE GAP, Pennsylvania. NPI 1720599434 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SHADE GAP, PA

Registration Details

NPI Number
1720599434
Provider Type
Individual
Gender
Female
NPI Issued
Oct 20, 2017 (8.8534770307026 yrs)
Last Updated
Aug 4, 2021
Licenses
SW134830 (PA)
CW019868 (PA)

Practice Information

Address
11891 NEELYTON RD
SHADE GAP, PA, 172559247
Browse PA providers · Browse ZIP 17255
Phone
7174892949
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in SHADE GAP, PA

Name Credential NPI
NICOLE E MATERO LCSW 1922503200
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.