Provider Demographics
NPI:1689977357
Name:FLORENZ, NICOLE SUSAN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:SUSAN
Last Name:FLORENZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:NICOLE
Other - Middle Name:SUSAN
Other - Last Name:BRUSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1211 SUMMITT ST
Mailing Address - Street 2:
Mailing Address - City:WHITE OAK
Mailing Address - State:PA
Mailing Address - Zip Code:15131-1543
Mailing Address - Country:US
Mailing Address - Phone:412-872-4829
Mailing Address - Fax:
Practice Address - Street 1:1010 DELAFIELD RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15215-1802
Practice Address - Country:US
Practice Address - Phone:412-822-1070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0202131041C0700X
PASW126406104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker