Nicole A Little | Southfield, MI • PECOS Search

Nicole A Little

Social Worker

Behavioral Health & Social Service Providers

22511 Telegraph Rd, Suite 101, Southfield, MI 48033-4115

PECOS Enrollment

Based on the most recent information from CMS, provider Nicole A Little does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1659553816
Provider Type
Individual
Full Name
Little, Nicole A
Credential
LMSW

Gender
Female
Sole Proprietor
No
Enumeration Date
11/29/2007
Last Updated
4/2/2008

Contact Information

Practice Location

22511 Telegraph Rd, Suite 101, Southfield, MI 48033-4115

(248) 356-0539

Mailing Location

PO Box 250693, West Bloomfield, MI 48325-0693

(248) 356-0539

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6801067716 Michigan