Tasha-mae N. Nicholas - Clinical Social Worker in Baltimore, Maryland | ProviderWire

Full Name

Tasha-mae Nickesha Nicholas

NPI Number

1255695623

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/29/2012

Specialties

(Taxonomies)

Name

Clinical Social Worker

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Maryland

North Carolina

South Carolina

License Number

16206

P007196

9546

Contact
Information

Purpose

Mailing

Location

Address

6802 MCCLEAN BLVD

6802 MCCLEAN BLVD

City

Baltimore

Baltimore

State

MD

MD

Postal Code

21234-7260

21234-7260

Country

US

US

Telephone Number

(718) 974-0732

(718) 974-0732

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/29/2012

Provider Address

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