Provider Demographics
NPI:1659842920
Name:SPRINGER, NICOLE MARIE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:MARIE
Last Name:SPRINGER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19720 NIVER RD
Mailing Address - Street 2:
Mailing Address - City:OAKLEY
Mailing Address - State:MI
Mailing Address - Zip Code:48649-9709
Mailing Address - Country:US
Mailing Address - Phone:989-928-7061
Mailing Address - Fax:
Practice Address - Street 1:500 S HAMILTON ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-1511
Practice Address - Country:US
Practice Address - Phone:989-928-7061
Practice Address - Fax:989-583-1106
Is Sole Proprietor?:No
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical