Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Todd Nicol, CDCA, SWT

Individual provider Case Manager/Care Coordinator · NPI 1285130468

Justin Todd Nicol, CDCA, SWT is a Case Manager/Care Coordinator in Moraine, Ohio. Licensed in Ohio. Registered with an NPI since 2018.

Licensed in
OH
In the registry since
2018
Specialties on file
3

Practice location Address checks out

3095 Kettering Blvd
Moraine, OH 45439-1983
Phone: (937) 293-8300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CDCA.110736 (OH)
Social Worker Taxonomy 104100000X · Licence S.2303110-TRNE (OH)

Record details

NPI number1285130468
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA , SWT
Sole proprietorNo
NPI enumeratedApril 5, 2018
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026

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