Nicole Marie Busch I
Nicole Marie Busch I is a Social Worker in Champaign, Illinois. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2010.
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
2101 Fox Dr Ste 102Champaign, IL 61820-8195
Phone: (217) 213-3405
Fax: (217) 403-9557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 202 W Park Ave, Champaign, IL 61820-3929 — (217) 378-2213
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|---|
| Social Worker | Taxonomy 104100000X |
Record details
| NPI number | 1437470879 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 21, 2010 |
| Last updated in NPPES | February 25, 2025 |
| Certification date | February 25, 2025 |
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Breasha Zhane Campbell
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Kelsey Caple, LSW
2101 Fox Dr Ste 102, Champaign, IL 61820-8195 · (217) 213-3405
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Araceli Carbajal, LSW
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