Provider Demographics
NPI:1053606632
Name:TSCHOPP, NICOLE (LCSW-C)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:TSCHOPP
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 FOREST ST APT E
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43206-2255
Mailing Address - Country:US
Mailing Address - Phone:443-801-6556
Mailing Address - Fax:
Practice Address - Street 1:380 FOREST ST APT E
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43206-2255
Practice Address - Country:US
Practice Address - Phone:443-801-6556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-13
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH23048981041C0700X
MD132801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical