Provider Demographics
NPI:1346772035
Name:WINTHER, NICOLE P (LISW)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:P
Last Name:WINTHER
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3826 CEDAR HEIGHTS DR STE 6
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-6257
Mailing Address - Country:US
Mailing Address - Phone:319-260-2206
Mailing Address - Fax:319-260-2205
Practice Address - Street 1:3826 CEDAR HEIGHTS DR STE 6
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-6257
Practice Address - Country:US
Practice Address - Phone:319-260-2206
Practice Address - Fax:319-260-2205
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-31
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06299104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker