Provider Demographics
NPI:1437809167
Name:NINE, NANCY LEIGH (MSW)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:LEIGH
Last Name:NINE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:LEIGH
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:401 GRAFTON LN
Mailing Address - Street 2:
Mailing Address - City:BERRYVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22611-2577
Mailing Address - Country:US
Mailing Address - Phone:540-542-0200
Mailing Address - Fax:
Practice Address - Street 1:401 GRAFTON LN
Practice Address - Street 2:
Practice Address - City:BERRYVILLE
Practice Address - State:VA
Practice Address - Zip Code:22611-2577
Practice Address - Country:US
Practice Address - Phone:540-542-0200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker