Individual provider · NPI-1
Nicole Lynn Abdul-Bari, LCSW
Social Worker, Clinical · Phoenix, AZ
NPI number1316466832
StatusActive
Last updated in NPPESApr 7, 2025
Details
- NPI
- 1316466832
- Entity type
- Individual (NPI-1)
- Name
- Nicole Lynn Abdul-Bari
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 15, 2017
- Certification date
- Apr 7, 2025
- Last updated
- Apr 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW-20569 | AZ | Yes |
| 1041C0700X | Social Worker, Clinical | 8498-C | NV |
Practice location
650 E Indian School Rd Bldg 31Phoenix, AZ 85012-1839
Phone 602-784-8853
Mailing address
123 W Chandler Heights Rd Unit 12786Chandler, AZ 85248-1073
Phone 480-386-3828
Other practice locations
123 W Chandler Heights Rd Unit 12786
Chandler, AZ 85248-1073
Chandler, AZ 85248-1073
Phone 480-386-3828
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