Provider Demographics
NPI:1174333009
Name:NOCILLA-BECKAGE, NICOLE MARIANNA (LCSW)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:MARIANNA
Last Name:NOCILLA-BECKAGE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:MARIANNA
Other - Last Name:NOCILLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:290 LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:ARCHBALD
Mailing Address - State:PA
Mailing Address - Zip Code:18403-2026
Mailing Address - Country:US
Mailing Address - Phone:570-561-3242
Mailing Address - Fax:
Practice Address - Street 1:290 LAUREL ST
Practice Address - Street 2:
Practice Address - City:ARCHBALD
Practice Address - State:PA
Practice Address - Zip Code:18403-2026
Practice Address - Country:US
Practice Address - Phone:570-561-3242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0234641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical