Provider Demographics
NPI:1407871346
Name:CIOCCI, NANCY KATHERINE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:KATHERINE
Last Name:CIOCCI
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:386 SAINT MARYS RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-2523
Mailing Address - Country:US
Mailing Address - Phone:919-245-0451
Mailing Address - Fax:919-245-0452
Practice Address - Street 1:125 E KING ST
Practice Address - Street 2:SUITE C
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-2570
Practice Address - Country:US
Practice Address - Phone:919-245-0451
Practice Address - Fax:919-245-0452
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0024531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC22458OtherBLUE CROSS BLUE SHIELD NO
NC22458OtherBLUE CROSS BLUE SHIELD NO