Provider Demographics
NPI:1518411511
Name:KINDLER, NICOLE (LICSW)
Entity Type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:
Last Name:KINDLER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MS
Other - First Name:NICOLE
Other - Middle Name:
Other - Last Name:SADOSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:368 ASHLAND ST
Mailing Address - Street 2:
Mailing Address - City:HOLLISTON
Mailing Address - State:MA
Mailing Address - Zip Code:01746-1150
Mailing Address - Country:US
Mailing Address - Phone:617-640-7191
Mailing Address - Fax:
Practice Address - Street 1:368 ASHLAND ST
Practice Address - Street 2:
Practice Address - City:HOLLISTON
Practice Address - State:MA
Practice Address - Zip Code:01746-1150
Practice Address - Country:US
Practice Address - Phone:978-267-1851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-08
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2201101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical