Provider Demographics
NPI:1750669545
Name:SLOAN, NICHOLE CHRISTIANA (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:NICHOLE
Middle Name:CHRISTIANA
Last Name:SLOAN
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 1:1763 CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:EAST POINT
Mailing Address - State:GA
Mailing Address - Zip Code:30344-4725
Mailing Address - Country:US
Mailing Address - Phone:614-325-4763
Mailing Address - Fax:
Practice Address - Street 1:1763 CENTER AVE
Practice Address - Street 2:
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344-4725
Practice Address - Country:US
Practice Address - Phone:614-325-4763
Practice Address - Fax:614-491-8050
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-27
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI 11000141041C0700X
GACSW0044981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical