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

Nicole Marie Polidoro, LCSW-A

Individual provider Clinical Social Worker · NPI 1033786801

Nicole Marie Polidoro, LCSW-A is a Clinical Social Worker in Jacksonville, North Carolina. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

200 Tarpon Trl
Jacksonville, NC 28546-5287
Phone: (910) 938-1114
Fax: (910) 938-1118
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1033786801
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-A
Sole proprietorNo
NPI enumeratedJune 9, 2021
Last updated in NPPESJune 9, 2021
Certification dateJune 9, 2021

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