Provider Demographics
NPI:1447374095
Name:NULSEN, LINDA J (LCSW)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:J
Last Name:NULSEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:44 BONNIE LANE
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-8511
Mailing Address - Country:US
Mailing Address - Phone:828-586-5501
Mailing Address - Fax:828-586-3965
Practice Address - Street 1:91 TIMBERLANE DRIVE
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28786
Practice Address - Country:US
Practice Address - Phone:828-454-1098
Practice Address - Fax:828-454-9242
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0024341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1095XOtherBCBS OF NORTH CAROLINA
NC6106048Medicaid
NC1095XOtherBCBS OF NORTH CAROLINA