Provider Demographics
NPI:1952449803
Name:WEINGARTEN, NICHOLES (MSW)
Entity Type:Individual
Prefix:MR
First Name:NICHOLES
Middle Name:
Last Name:WEINGARTEN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 MAGNOLIA CT
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2650
Mailing Address - Country:US
Mailing Address - Phone:267-880-0872
Mailing Address - Fax:
Practice Address - Street 1:780 NEWTOWN YARDLEY RD
Practice Address - Street 2:SUITE 321
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-4502
Practice Address - Country:US
Practice Address - Phone:215-262-3220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0143431041C0700X
NJ44SC045839001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical