Provider Demographics
NPI:1568163699
Name:ADKINS, NICOLE MARIE CARIATI (LCSWA)
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:MARIE CARIATI
Last Name:ADKINS
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 INVESTMENT LN
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28540-8774
Mailing Address - Country:US
Mailing Address - Phone:440-223-8345
Mailing Address - Fax:
Practice Address - Street 1:825 GUM BRANCH RD STE 138
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-6262
Practice Address - Country:US
Practice Address - Phone:440-223-8345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0187831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical