Provider Demographics
NPI:1669063053
Name:TUOHEY, NICOLE PATRICIA (LCSW)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:PATRICIA
Last Name:TUOHEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:591 BECK RD
Mailing Address - Street 2:
Mailing Address - City:SOUDERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18964-2211
Mailing Address - Country:US
Mailing Address - Phone:267-371-0304
Mailing Address - Fax:
Practice Address - Street 1:1690 SUMNEYTOWN PIKE STE 250
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-4882
Practice Address - Country:US
Practice Address - Phone:267-371-0304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-29
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0233881041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical