IndividualActive
Mara San Nicolas, MSW
NPI 1639674633 · Social Worker · Maite, GU
Provider details
- NPI number
- 1639674633
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- No
- License
- LSW-2466 (HI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Mailing address
Po Box 907
Hagatna, GU 96932-0907
Registry dates
- Enumerated
- 2018-03-29
- Last updated
- 2018-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.