Provider Demographics
NPI:1013049782
Name:ALFORD, NICOLE RIDGILL (MSW LCSW)
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:RIDGILL
Last Name:ALFORD
Suffix:
Gender:
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 604050
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-4050
Mailing Address - Country:US
Mailing Address - Phone:336-314-1214
Mailing Address - Fax:
Practice Address - Street 1:500 PINEVIEW DR STE 205
Practice Address - Street 2:
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-3814
Practice Address - Country:US
Practice Address - Phone:336-329-3295
Practice Address - Fax:336-355-5204
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0054231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical