Provider Demographics
NPI:1700332699
Name:HIGGINS, NANCY E (LICSW)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:E
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:LICSW
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 72
Mailing Address - Street 2:
Mailing Address - City:NORTH EASTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02651-0072
Mailing Address - Country:US
Mailing Address - Phone:508-237-7496
Mailing Address - Fax:508-433-1871
Practice Address - Street 1:165 RT 6A
Practice Address - Street 2:
Practice Address - City:ORLEANS
Practice Address - State:MA
Practice Address - Zip Code:02653-3267
Practice Address - Country:US
Practice Address - Phone:508-237-7496
Practice Address - Fax:508-433-1871
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-30
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10179411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical