Individual provider · Type 1 NPI
Nicole Staples
School Social Worker · Crystal Lake, IL
NPI number
1942920624
Active
Practice location
6000 Dvorak Dr
Crystal Lake, IL 60012-3514
Mailing address
609 N John St
Mchenry, IL 60050-5748
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Social Worker Primary | 1041S0200X | 150104957 (IL) |
School Social Worker: Definition to come...
Another provider at this address
About NPI 1942920624
Nicole Staples's National Provider Identifier is 1942920624, issued on Sep 1, 2022. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Crystal Lake, IL. The record was last updated on Sep 1, 2022.