Samantha Nicholson
Samantha Nicholson is a Social Worker in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2016.
- Licensed in
- FL
- In the registry since
- 2016
- Specialties on file
- 3
Practice location Address checks out
9480 Princeton Square Blvd S Apr 2411Jacksonville, FL 32256-0302
Phone: (347) 645-7798
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Social Worker | Taxonomy 104100000X |
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 10090 (FL) |
Record details
| NPI number | 1992161087 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 6, 2016 |
| Last updated in NPPES | February 25, 2022 |
| Certification date | February 25, 2022 |
| Mailing address | 4518 Cape Elizabeth Ct E # R, Jacksonville, FL 32277-3217 |
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