Nycole Lynn Wiek, MSW, LGSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

71249 Issued in MN

Practice address

11090 183Rd Cir NW Ste C
Elk River, MN 55330-2884

Phone

(763) 333-8001

Fax

(651) 925-0267

NPI assigned

Nov 26, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Forensic Mental Health Specialists

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elk River, MN
  • NPI 1396246898
  NPD
• Peacetree Family Institute LTD

  • Clinical Psychologist
  • Elk River, MN
  • NPI 1053002881
  NPD
• Program Solutions, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Minneapolis, MN
  • NPI 1942851936
  NPD (past)

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

{
    "created_epoch": "1637884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637884800000",
    "number": "1184381055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 MEADOW ACRES PL",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374511",
            "telephone_number": "612-258-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11090 183RD CIR NW STE C",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302884",
            "telephone_number": "763-333-8001",
            "fax_number": "651-925-0267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3249 Hennepin Ave Ste 210A",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554083413",
            "country_code": "US",
            "telephone_number": "612-361-7260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEK",
        "first_name": "NYCOLE",
        "middle_name": "LYNN",
        "credential": "MSW, LGSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-26",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "71249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nycole@alphaemergence.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11090 183rd Cir NW Ste C",
            "city": "Elk River",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553302884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Lee Wester
• Nicole Sandra Westholter
• Erica Dawn Wheeler
• Julie Anne Whiting, APRN, CNP
• Alyssa Mae Wiehle, MSW, LICSW
• Olivia Lee Wilinski
• Lisa Marie Williams, CMT, MLD-C, CLT
• Natasha Monique Williams
• Sonja Jean Williams
• Ryan Robert Wilson

• Clinical Social Worker in Elk River, MN
• Providers in Elk River, 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 Nov 26, 2021; 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.