Provider Demographics
NPI:1639938806
Name:TORRES COLLADO, NICOLE E (LCSW)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:E
Last Name:TORRES COLLADO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 ARLISS ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01109-2002
Mailing Address - Country:US
Mailing Address - Phone:413-612-4192
Mailing Address - Fax:
Practice Address - Street 1:271 S PLEASANT ST
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-8914
Practice Address - Country:US
Practice Address - Phone:413-542-2354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA227795104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker