Nicole Dorothy Watson, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21967 Issued in MN

Practice address

394 S Lake Ave Ste 515
Duluth, MN 55802-2325

Phone

(218) 206-6676

NPI assigned

Mar 14, 2018

Reactivated

Jan 24, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Nicole Dorothy Loukes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northern Edge Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Duluth, MN
  • NPI 1598523110
  NPD (past)
• Aspiranet

  • Community/Behavioral Health Agency
  • Signal Hill, CA
  • NPI 1881143154
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1043713282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 S LAKE AVE STE 515",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022325",
            "telephone_number": "218-206-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 S LAKE AVE STE 515",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022325",
            "telephone_number": "218-206-6676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 W Superior St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558022063",
            "country_code": "US",
            "telephone_number": "218-206-6676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2248 Obispo Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Signal Hill",
            "state": "CA",
            "postal_code": "907554026",
            "country_code": "US",
            "telephone_number": "213-550-2634 x5407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "NICOLE",
        "middle_name": "DOROTHY",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "deactivation_date": "2019-10-11",
        "reactivation_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "79699",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "21967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "LOUKES",
            "middle_name": "DOROTHY",
            "credential": "MSW, ASW, LGSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hannah Waterman, LICSW
• Waterstone Clinic P.C.
• Amy Lynne Watkins, RN
• Andrea M Watson, MD
• Kimberly Helen Watson, OD
• Rachel E Watson, LMT
• Randali Rae Watson
• Sheila Watson, O.T.R./L.
• We Health Clinic, P.a.
• Wealth of Health

• Clinical Social Worker in Duluth, MN
• Providers in Duluth, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.