Individual provider · Type 1 NPI

Lucille Nicholson, CPSS

Peer Specialist · Raleigh, NC

NPI number 1134049505 Active

Practice location

3721 Benson Dr Ste 1C
Raleigh, NC 27609-7390

Call (984) 302-1452 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Peer Specialist Primary 175T00000X2026-18007-01 (NC)
Case Management Agency 251B00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1134049505

Lucille Nicholson, CPSS's National Provider Identifier is 1134049505, issued on Jul 16, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Raleigh, NC. The record was last updated on Oct 17, 2026.