Provider Demographics
NPI:1346789187
Name:HANDSMAN, NICOLE GENNA (LCSW)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:GENNA
Last Name:HANDSMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:GENNA
Other - Last Name:HALPERIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:30 STAGE STOP PLACE
Mailing Address - Street 2:
Mailing Address - City:SWANNANOA
Mailing Address - State:NC
Mailing Address - Zip Code:28778
Mailing Address - Country:US
Mailing Address - Phone:561-504-3474
Mailing Address - Fax:
Practice Address - Street 1:30 STAGE STOP PLACE
Practice Address - Street 2:
Practice Address - City:SWANNANOA
Practice Address - State:NC
Practice Address - Zip Code:28778
Practice Address - Country:US
Practice Address - Phone:561-504-3474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-13
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0154141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical