Nicole Dallas
Nicole Dallas is a Clinical Social Worker in Ghent, New York. Qualified in 2021, 5 years ago. Practices with Survivors of Abuse in Recovery Inc, a 9-clinician group and accepts Medicare assignment. Licensed in Delaware.
- Years since qualifying
- 5
- Licensed in
- DE
- In the registry since
- 2023
Practice location Address checks out
586 County Route 9Ghent, NY 12075-2312
Phone: (518) 965-2648
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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 Q1-0012293 (DE) |
|---|
Record details
| NPI number | 1306522578 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 23, 2023 |
| Last updated in NPPES | June 23, 2023 |
| Certification date | June 23, 2023 |
| Mailing address | 586 County Route 9, Ghent, NY 12075-2312 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Survivors Of Abuse In Recovery Inc — 9 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Ghent
-
Jill Edelstein, LCSW
107 W View Dr, Ghent, NY 12075-1618 · (917) 570-5592
-
Heart of Space LCSW PLLC
107 W View Dr, Ghent, NY 12075-1618 · (917) 579-5592