Provider Demographics
NPI:1538307889
Name:NICHOLS, INAHI MARIA (MSW, LGSW)
Entity Type:Individual
Prefix:MRS
First Name:INAHI
Middle Name:MARIA
Last Name:NICHOLS
Suffix:
Gender:F
Credentials:MSW, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11178 CAPTAINS WALK CT
Mailing Address - Street 2:
Mailing Address - City:NORTH POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878-4222
Mailing Address - Country:US
Mailing Address - Phone:301-424-9162
Mailing Address - Fax:
Practice Address - Street 1:11178 CAPTAINS WALK CT
Practice Address - Street 2:
Practice Address - City:NORTH POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20878-4222
Practice Address - Country:US
Practice Address - Phone:301-424-9162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-25
Last Update Date:2009-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDG11526101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health