NICOLE JOLENE PROCTOR (NPI# 1487263190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487263190 |
| Entity Type | Individual |
| Full Name | NICOLE JOLENE PROCTOR |
| Practice Address |
709 Dearborn St Caldwell ID 83605-4116 |
| Mailing Address |
2634 W Selway Rapids Ln Apt 108 Meridian ID 83646-6210 |
| Practice Telephone | 2083767083 |
| Mailing Telephone | 9714007042 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LMSW-39660 | ID | Behavioral Health & Social Service Providers |
| Street Address |
709 DEARBORN ST |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-4116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578049185 | Heather Layne Dolman | Social Worker | 709 Dearborn St, Caldwell, ID 83605-4116 | 2018-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| Find all providers in zip 83605 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568078681 | Tammy Law | Social Worker | 314 Badiola St # T, Caldwell, ID 83605-4389 | 2020-09-23 |
| 1578049185 | Heather Layne Dolman | Social Worker | 709 Dearborn St, Caldwell, ID 83605-4116 | 2018-07-17 |
| 1326556564 | Salvatrice Rosalia Polizzotto | Social Worker | 249 Bloomfield Avenue, 2nd Floor, Caldwell, NJ 07006 | 2018-01-22 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1053794552 | Richard D Hammond | Social Worker | 14885 Eagle Dr, Caldwell, ID 83607-7681 | 2015-07-01 |
| 1467899930 | Carolyn Anderson | Social Worker | 2609 S 10th Ave, Caldwell, ID 83605 | 2013-05-24 |
| 1568743359 | Yolanda Amber Ponder | Social Worker | 1522 Dearborn St, Caldwell, ID 83605-4237 | 2011-09-07 |
| 1891913125 | Abundance Behavioral Health Service Inc. | Social Worker | 524 Cleveland Blvd Ste 230, Caldwell, ID 83605-4080 | 2007-04-23 |
| 1760098982 | Jamie Michel | Social Worker | 275 Bloomfield Ave Ste 4, Caldwell, NJ 07006-5100 | 2020-09-22 |
| 1477162907 | Leticia Soto | Social Worker | 3402 Franklin Rd, Caldwell, ID 83605-6932 | 2020-07-30 |
| Find all providers in CALDWELL | ||||
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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.