Provider Demographics
NPI:1457186546
Name:NEHEZ, NICHOLAS III (LSW)
Entity type:Individual
Prefix:MR
First Name:NICHOLAS
Middle Name:
Last Name:NEHEZ
Suffix:III
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:NICK
Other - Middle Name:
Other - Last Name:NEHEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7029 CLEARVIEW ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-1849
Mailing Address - Country:US
Mailing Address - Phone:845-532-2767
Mailing Address - Fax:
Practice Address - Street 1:333 E CITY AVE
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-1501
Practice Address - Country:US
Practice Address - Phone:215-596-8709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical