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

DR. NICOLE WOLLER, PH.D., LCSW

Active Sole Proprietor

DR. NICOLE WOLLER, PH.D., LCSW is a Clinical Social Worker healthcare provider located in BELLEVIEW, Florida. NPI 1881735819 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · BELLEVIEW, FL

Registration Details

NPI Number
1881735819
Provider Type
Individual
Gender
Female
NPI Issued
Feb 11, 2007 (19.504635836779 yrs)
Last Updated
Apr 22, 2020
License
SW8553 (FL)
Sole Proprietor
Yes

Practice Information

Address
5818 SE AGNEW RD
BELLEVIEW, FL, 344204020
Browse FL providers · Browse ZIP 34420
Phone
5617061004
Fax
5618920268
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Forensic Psychologist
Additional Specialty
Clinical Social Worker
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.