Individual provider · NPI-1

Nicole Abbott

Social Worker, Clinical · Louisville, KY

NPI number1043587686
StatusActive
Last updated in NPPESMay 6, 2015

Details

NPI
1043587686
Entity type
Individual (NPI-1)
Name
Nicole Abbott
Sex
Female
Sole proprietor
No
Enumeration date
Nov 28, 2011
Last updated
May 6, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical3662KYYes

Other names

  • Nicole Smith-Vires (Former Name)

Practice location

9702 Stonestreet Rd
#110
Louisville, KY 40272-6808

Phone 502-589-8600 · Fax 502-589-8771

Mailing address

101 W Muhammad Ali Blvd
Louisville, KY 40202-1423

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