Provider Demographics
NPI:1184208514
Name:PLATT, NICHOLE (BSW)
Entity Type:Individual
Prefix:
First Name:NICHOLE
Middle Name:
Last Name:PLATT
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 S MELZE ST
Mailing Address - Street 2:
Mailing Address - City:MERRILL
Mailing Address - State:MI
Mailing Address - Zip Code:48637-2523
Mailing Address - Country:US
Mailing Address - Phone:989-708-2846
Mailing Address - Fax:
Practice Address - Street 1:132 S MELZE ST
Practice Address - Street 2:
Practice Address - City:MERRILL
Practice Address - State:MI
Practice Address - Zip Code:48637-2523
Practice Address - Country:US
Practice Address - Phone:989-708-2846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-11
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker