MRS. NICHOLE NIMMO (NPI# 1114434503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114434503 |
| Entity Type | Individual |
| Full Name | MRS. NICHOLE NIMMO |
| Practice Address |
707 College St Clinton NC 28328-3503 |
| Practice Telephone | 9105924507 |
| Mailing Telephone | 9105924507 |
| Enumeration Date | 2018-01-07 |
| Last Update Date | 2020-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P014202 | NC | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1149 S Hill St Ste H-375, Los Angeles, CA 900152212 | 2138215977 | |
| 110 Sw Center St., Mount Olive, NC 28365 | 9196353344 | |
| 1112 Atkinson St, Laurinburg, NC 283524723 | 9106104222 |
| Street Address |
707 COLLEGE ST |
| City | CLINTON |
| State | NC |
| Zip Code | 28328-3503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417123159 | Family First Support Center Inc | Community/Behavioral Health | 707 College St, Clinton, NC 28328 | 2008-05-02 |
| 1346732088 | Ronni Robinson Brantley | Behavior Technician | 707 College St, Clinton, NC 28328-3503 | 2018-05-30 |
| 1881186518 | Miranda Y Bryant | Specialist | 707 College St, Clinton, NC 28328-3503 | 2018-05-30 |
| 1699267336 | George Joyner | Peer Specialist | 707 College St, Clinton, NC 28328-3503 | 2018-05-30 |
| 1578054425 | Mickael John Stephens | Assistant Behavior Analyst | 707 College St, Clinton, NC 28328-3503 | 2018-05-27 |
| 1043669856 | Donna R Landes | Counselor | 707 College St, Clinton, NC 28328-3503 | 2016-06-13 |
| 1023465416 | Robin Geddie Henderson | Counselor | 707 College St, Clinton, NC 28328-3503 | 2016-05-16 |
| 1063757581 | Ronald Paul Cox | Counselor | 707 College St, Clinton, NC 28328-3503 | 2012-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326470741 | Ashley Brown Spell | Pharmacist | 607 Beamen St, Clinton, NC 28328 | 2013-08-08 |
| 1225315666 | Southeastern Medical Oncology Center | Internal Medicine | 211 Beaman Street, Clinton, NC 28328 | 2011-11-14 |
| 1558686386 | Keith S Kinsley | Chiropractor | 346a Northeast Blvd, Clinton, NC 28328 | 2010-04-05 |
| 1891985123 | The Lawsons House | Residential Treatment Facility, Emotionally Disturbed Children | 790 Corwallis Road, Teachey, NE 28328 | 2007-08-01 |
| 1053519827 | Ronald H Honeycutt | Dentist | 705 Beaman Street, Clinton, NC 28328 | 2007-07-03 |
| 1265558134 | Alternative Care Treatments Systems, Inc-clinton | Community/Behavioral Health | 207a West Main Street, Clinton, NC 28328 | 2007-03-22 |
| 1851444764 | Tara Cotton | Counselor | 302 Turlington Street, Clinton, NC 28328 | 2007-01-22 |
| 1750460952 | Sophia B Pierce & Associates Inc | Non-emergency Medical Transport (VAN) | 112 Royal Lane, Clinton, NC 28328 | 2006-11-06 |
| 1790867158 | Michelle Sessoms Simmons | Nurse Practitioner | 360 County Complex Road, (sampson County Health Department), Clinton, NC 28328 | 2006-10-19 |
| 1487753182 | Sessoms Medical Associates, LLC | Internal Medicine | 500 Beaman Street, Clinton, NC 28328 | 2006-09-21 |
| Find all providers in zip 28328 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659985455 | Lisa C Frasca | Social Worker | 1802 State Route 31 Ste 233, Clinton, NJ 08809-2033 | 2020-08-31 |
| 1245855972 | Joshua D. Burgess Lcsw | Social Worker | 63 Norton Ave, Clinton, NY 13323-1321 | 2020-06-09 |
| 1588284210 | Kimberly Wheaton Middleton | Social Worker | 552 Springridge Rd Apt C5, Clinton, MS 39056-5631 | 2020-04-22 |
| 1073161204 | Guiding Light Counseling, LLC | Social Worker | 110 Cow Hill Rd, Clinton, CT 06413-1341 | 2019-08-30 |
| 1679130561 | Joseph Patrick Lamb | Social Worker | 2419 W 1850 N, Clinton, UT 84015-5709 | 2019-05-25 |
| 1538620828 | Rachel H Daniels | Social Worker | 1311 Reserve Dr, Clinton, MS 39056-5658 | 2019-03-28 |
| 1629535166 | Tarsha Harris Moore | Social Worker | 8102 Hunters Green Ct, Clinton, MD 20735-2989 | 2019-02-20 |
| 1174090120 | Shifting Your Gears, LLC | Social Worker | 1802 State Route 31, Clinton, NJ 08809-2033 | 2018-10-29 |
| 1285122432 | Jean M Baker | Social Worker | 3 Fountain St Ste 201, Clinton, NY 13323-1747 | 2018-04-24 |
| 1619490851 | Kristyn Wagner | Social Worker | 90 N 31st Street, Clinton, OK 73601 | 2017-07-19 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.