Individual provider · Type 1 NPI

Jody Nicoli, CASACT

Addiction (Substance Use Disorder) Counselor · Staten Island, NY

NPI number 1487543658 Active

Practice location

191 Olympia Blvd Lowr Level
Staten Island, NY 10305-4223

Call (347) 242-1770 Map

Fax (347) 242-1770

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1487543658

Jody Nicoli, CASACT's National Provider Identifier is 1487543658, issued on Jul 1, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Staten Island, NY. The record was last updated on Jul 1, 2025.