National Provider Identifier

Nicole Corcimiglia, LCSW

Nicole Corcimiglia, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 368-6901.

NPI 1467909069Rochester, NYClinical Social Worker

Profile Overview

NPI
1467909069
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
September 01, 2016
Last Updated
February 22, 2023

Practice Location

  • 81 Lake Avenue
  • Rochester, NY 14608

Phone: (585) 368-6901

Mailing Address

  • 339 Tarrington RD
  • Rochester, NY 14609

Specialties

  • Clinical Social Worker (1041C0700X)
  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1467909069
Entity Type
Individual
Last Name
Corcimiglia
First Name
Nicole
Credential
LCSW
Provider Other Last Name
Richards
Provider Other First Name
Nicole
Provider Other Credential Text
LMSW
Provider Other Last Name Type Code
1
Mailing Street Address
339 Tarrington RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609
Mailing Country
US
Practice Street Address
81 Lake Avenue
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14608
Practice Country
US
Practice Phone
(585) 368-6901
Practice Fax
(585) 546-5806
Enumeration Date
September 01, 2016
Last Updated
February 22, 2023
Sex
Female
Sole Proprietor
No
Certification Date
February 22, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X), Addiction (Substance Use Disorder) Counselor (101YA0400X)