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

Nicole Altbaum-Nash

Individual provider Clinical Social Worker · NPI 1124238894

Nicole Altbaum-Nash is a Clinical Social Worker in Bridgeport, Connecticut. Qualified in 2005, 21 years ago. Practices with South-West Community Health Center Inc, a 54-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
21
Licensed in
CT
In the registry since
2007
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Practice location Address checks out

1046 Fairfield Ave
Bridgeport, CT 06605-1116
Phone: (203) 330-6054
Fax: (203) 331-4716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 006462 (CT)

Record details

NPI number1124238894
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 23, 2007
Last updated in NPPESJuly 8, 2007
Mailing address9a Kings Hwy N, Westport, CT 06880-3002

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice South-West Community Health Center Inc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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