Provider Demographics
NPI:1154207538
Name:DUGGAL, NIDHI (LCSW)
Entity type:Individual
Prefix:
First Name:NIDHI
Middle Name:
Last Name:DUGGAL
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 1:120 MATHESON AVE APT 321
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28206-3432
Mailing Address - Country:US
Mailing Address - Phone:516-439-7027
Mailing Address - Fax:
Practice Address - Street 1:9525 BIRKDALE CROSSING DR STE 300
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-8459
Practice Address - Country:US
Practice Address - Phone:980-528-7853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0179761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical