Provider Demographics
NPI:1144366360
Name:NIMMICH, NANCY ELIZABETH (LCSW-C)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:ELIZABETH
Last Name:NIMMICH
Suffix:
Gender:F
Credentials:LCSW-C
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Mailing Address - Street 1:1730 LYNNDALE RD
Mailing Address - Street 2:LIFE TRANSITIONS
Mailing Address - City:OAKLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21550-6121
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1025 MEMORIAL DR
Practice Address - Street 2:BEHAVIORAL HEALTH
Practice Address - City:OAKLAND
Practice Address - State:MD
Practice Address - Zip Code:21550-4343
Practice Address - Country:US
Practice Address - Phone:301-334-7680
Practice Address - Fax:310-334-7681
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD105281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical