NICOLE MARIE POLIDORO LCSW-A
NPI 1033786801
Social Worker - Clinical in Jacksonville, NC

Active since June 09, 2021
200 TARPON TRL, JACKSONVILLE, NC 28546(910) 938-1114(910) 938-1118 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nicole Marie Polidoro Lcsw-a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE MARIE POLIDORO LCSW-A (NPI 1033786801) is an individual clinical provider in Jacksonville, North Carolina and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1033786801
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE MARIE POLIDOROCredential: LCSW-A
Location Address200 TARPON TRLJacksonville, NC 28546-5287
Mailing Address200 Tarpon TrlJacksonville, NC 28546-5287 · (910) 938-1114 · Fax (910) 938-1118
Fax(910) 938-1118
Sole ProprietorNo
Enumeration DateJune 9, 2021
NPPES CertifiedJune 9, 2021
NPI 1033786801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

200 TARPON TRL, Jacksonville, NC 28546

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
200 TARPON TRL
JACKSONVILLE, NC 28546
Psychiatry & Neurology (Psychiatry)
200 TARPON TRL
JACKSONVILLE, NC 28546
Nurse Practitioner (Psychiatric/Mental Health)
200 TARPON TRL
JACKSONVILLE, NC 28546
Psychiatry & Neurology (Psychiatry)
200 TARPON TRL
JACKSONVILLE, NC 28546
Social Worker (Clinical)
200 TARPON TRL
JACKSONVILLE, NC 28546
Psychiatry & Neurology (Psychiatry)
200 TARPON TRL
JACKSONVILLE, NC 28546
Physician Assistant
200 TARPON TRL
JACKSONVILLE, NC 28546
Psychologist
200 TARPON TRL
JACKSONVILLE, NC 28546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033786801, enumerated as an "individual" on June 09, 2021.

The provider is located at 200 TARPON TRL JACKSONVILLE, NC 28546 and the phone number is (910) 938-1114.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.