Provider Demographics
NPI:1083462063
Name:LAPPE, NICOLE (CASAC-T)
Entity type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:
Last Name:LAPPE
Suffix:
Gender:
Credentials:CASAC-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 OVERHILL RD
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-6520
Mailing Address - Country:US
Mailing Address - Phone:914-719-2594
Mailing Address - Fax:
Practice Address - Street 1:2000 MAPLE HILL ST STE 101
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4122
Practice Address - Country:US
Practice Address - Phone:914-962-5101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-07
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
38173101YA0400X
NY38173101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)