Provider Demographics
NPI:1497176481
Name:FEIST, NICOLE FRANCESKA (LMSW, COMS, CVRT)
Entity Type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:FRANCESKA
Last Name:FEIST
Suffix:
Gender:F
Credentials:LMSW, COMS, CVRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20511
Mailing Address - Street 2:LONDON TERRACE STATION
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011
Mailing Address - Country:US
Mailing Address - Phone:718-673-8469
Mailing Address - Fax:
Practice Address - Street 1:351 W 24TH ST
Practice Address - Street 2:APT 17F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-1505
Practice Address - Country:US
Practice Address - Phone:718-673-8469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-18
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY086123104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker