Provider Demographics
NPI:1164903993
Name:CRONE, NICOLE M (LISW)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:M
Last Name:CRONE
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 MOUNT AUBURN DR
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-4158
Mailing Address - Country:US
Mailing Address - Phone:567-215-6140
Mailing Address - Fax:
Practice Address - Street 1:508 DICKSON ST
Practice Address - Street 2:SUITE 2
Practice Address - City:WELLINGTION
Practice Address - State:OH
Practice Address - Zip Code:44090
Practice Address - Country:US
Practice Address - Phone:440-828-0012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-29
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator