Nicole Andersen
Individual provider Active NPI Social Worker · McHenry, IL
NPI 1063385938 · NPPES record last updated Sep 26, 2025
Key facts
- NPI
- 1063385938
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 5320 W Elm St
McHenry, IL 60050-4029 - Phone
- (630) 917-1543
- NPI assigned
- Sep 26, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | IL | Yes |
Addresses
Primary practice location
5320 W Elm St
McHenry, IL 60050-4029
Mailing address
2489 Ajax St
Crystal Lake, IL 60014-3947
Phone (630) 917-1543
Other names
- Ms. Nicole Cook
Other providers in McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.