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

Individual provider Clinical Social Worker · NPI 1508369141

Nicollette Rose Airhart, LCSW is a Clinical Social Worker in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2018
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1819 John F Kennedy Blvd Ste 302
Philadelphia, PA 19103-1729
Phone: (330) 495-8763
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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 CW019852 (PA)

Record details

NPI number1508369141
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 9, 2018
Last updated in NPPESMarch 9, 2018

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