Provider Demographics
NPI:1609085554
Name:DENICOLO, NANCY (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:
Last Name:DENICOLO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 HICKORY HILL RD
Mailing Address - Street 2:
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561-3105
Mailing Address - Country:US
Mailing Address - Phone:845-926-2086
Mailing Address - Fax:
Practice Address - Street 1:5 ACADEMY ST
Practice Address - Street 2:OMAMAWORKS AT THE SANCTUARY
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561-1702
Practice Address - Country:US
Practice Address - Phone:845-926-2086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001106-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health