Provider Demographics
NPI:1194547455
Name:CHALAPUD, NICOLE (RCSW-I)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:CHALAPUD
Suffix:
Gender:F
Credentials:RCSW-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9288 W ATLANTIC BLVD APT 1113
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-5206
Mailing Address - Country:US
Mailing Address - Phone:954-798-4008
Mailing Address - Fax:
Practice Address - Street 1:9288 W ATLANTIC BLVD APT 1113
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-5206
Practice Address - Country:US
Practice Address - Phone:954-798-4008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW210391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical