Provider Demographics
NPI:1962709626
Name:LORICK, NASHAY NICOLE (LCSW)
Entity type:Individual
Prefix:MS
First Name:NASHAY
Middle Name:NICOLE
Last Name:LORICK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1795 FRY RD UNIT 420
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-3347
Mailing Address - Country:US
Mailing Address - Phone:832-225-6075
Mailing Address - Fax:
Practice Address - Street 1:4423 SILVER GRASS LANE
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-3347
Practice Address - Country:US
Practice Address - Phone:832-225-6075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-16
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX695061041C0700X
FL2521041C0700X, 1041C0700X
OK48121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical