Provider Demographics
NPI:1558155499
Name:PAEZ, NICOLE NATALIA (MSW)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:NATALIA
Last Name:PAEZ
Suffix:
Gender:
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7721 DICKENS AVE APT 8
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-2035
Mailing Address - Country:US
Mailing Address - Phone:305-851-1317
Mailing Address - Fax:
Practice Address - Street 1:7721 DICKENS AVE APT 8
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33141-2035
Practice Address - Country:US
Practice Address - Phone:305-851-1317
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical