Provider Demographics
NPI:1538967005
Name:MCKOY, NIKKI (LMSW)
Entity type:Individual
Prefix:
First Name:NIKKI
Middle Name:
Last Name:MCKOY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 GREENBRUSH CT
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-1381
Mailing Address - Country:US
Mailing Address - Phone:612-889-5899
Mailing Address - Fax:
Practice Address - Street 1:3 GREENBRUSH CT
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-1381
Practice Address - Country:US
Practice Address - Phone:612-889-5899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD32628104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker