Provider Demographics
NPI:1235991134
Name:NAKHLE, NANCY (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:NAKHLE
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:585 BLOOMFIELD AVE APT 18
Mailing Address - Street 2:
Mailing Address - City:WEST CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-7562
Mailing Address - Country:US
Mailing Address - Phone:551-206-5132
Mailing Address - Fax:
Practice Address - Street 1:508 STRAIGHT ST
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07503-3044
Practice Address - Country:US
Practice Address - Phone:973-816-4780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC062954001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical