Provider Demographics
NPI:1083431316
Name:MACOLINO, NICOLETTE JOLIE (LMSW)
Entity type:Individual
Prefix:MS
First Name:NICOLETTE
Middle Name:JOLIE
Last Name:MACOLINO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2834 JUDITH DR
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-5311
Mailing Address - Country:US
Mailing Address - Phone:516-462-1904
Mailing Address - Fax:
Practice Address - Street 1:2834 JUDITH DR
Practice Address - Street 2:
Practice Address - City:BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-5311
Practice Address - Country:US
Practice Address - Phone:516-462-1904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program