Provider Demographics
NPI:1487092433
Name:MCATEE, NICOLE ANN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:ANN
Last Name:MCATEE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:NICOLE
Other - Middle Name:ANN
Other - Last Name:EPPSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISW
Mailing Address - Street 1:120 E NEW YORK AVE STE B
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32724-5527
Mailing Address - Country:US
Mailing Address - Phone:386-738-5543
Mailing Address - Fax:386-734-8330
Practice Address - Street 1:120 E NEW YORK AVE STE B
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32724-5527
Practice Address - Country:US
Practice Address - Phone:386-738-5543
Practice Address - Fax:386-734-8330
Is Sole Proprietor?:No
Enumeration Date:2013-06-12
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 127531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical