Ethan Nicholas, LCSW, LAC, LMSW
Clinical Social Worker · Fort Meade, MD
Practice location
2480 Llewellyn AveFort Meade, MD 20755-7081
- Phone
- (301) 677-8895
NPI record
- NPI
- 1518350222
- Entity type
- Individual (Type 1)
- Enumeration date
- March 5, 2015
- Last updated
- July 22, 2024
- Certified
- July 22, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Social Worker Primary | 1041C0700X |
12901 | LA |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X |
1548 | LA |
| Social Worker | 104100000X |
12901 | LA |
Mailing address
2005 Town Center Blvd Unit 3441Odenton, MD 21113-1780
- Phone
- (985) 227-3897
Other practice locations (1)
- 5593 Highway 311, Houma, LA 70360 · (985) 868-2620
About Ethan Nicholas
Ethan Nicholas, LCSW, LAC, LMSW is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 2480 Llewellyn Ave, Fort Meade, MD 20755-7081. The NPI number 1518350222 was assigned on March 5, 2015 and the record was last updated on July 22, 2024.
Ethan Nicholas lists 3 licenses in the registry: #12901 (LA) for Clinical Social Worker; #1548 (LA) for Addiction (Substance Use Disorder) Counselor; #12901 (LA) for Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Ethan Nicholas, LCSW, LAC, LMSW?
The NPI number is 1518350222.
What is the phone number of Ethan Nicholas?
The phone number listed for the practice location is (301) 677-8895.
Where is Ethan Nicholas located?
2480 Llewellyn Ave, Fort Meade, MD 20755-7081.
What is the taxonomy code for Ethan Nicholas?
The primary taxonomy code is 1041C0700X – Clinical Social Worker; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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