Provider Demographics
NPI:1992357149
Name:FILIAN, NICOLE (MSW, LCSW, LISW-CP)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:FILIAN
Suffix:
Gender:F
Credentials:MSW, LCSW, LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 TORRINGTON DR
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:SC
Mailing Address - Zip Code:29334-8123
Mailing Address - Country:US
Mailing Address - Phone:201-515-6429
Mailing Address - Fax:
Practice Address - Street 1:507 TORRINGTON DR
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:SC
Practice Address - Zip Code:29334-8123
Practice Address - Country:US
Practice Address - Phone:201-515-6429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-09
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC058717001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical