Nicholas Fetzer
Social Worker, Clinical in New York, NY. Individual provider (NPI-1).
NPI number1023596152
StatusActive
Last updated in NPPESJan 23, 2026
Details
- NPI
- 1023596152
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Fetzer
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 31, 2018
- Certification date
- Jan 23, 2026
- Last updated
- Jan 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 101095 | NY | Yes |
Practice location
928 BroadwayNew York, NY 10010-6008
Phone 845-464-2700
Mailing address
2817 Northfield RdCharlottesville, VA 22901-1236
Phone 845-464-2700
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