Individual provider Active NPI

Nicole Hawkins, MSW, LICSW, LCSW

  • Clinical Social Worker
  • Duluth, MN
National Provider Identifier
1194204420
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22693 Issued in MN
Practice address
2000 W Superior St Ste 204
Duluth, MN 55806-2908
Phone
(218) 451-3359
NPI assigned
Aug 8, 2018
Last updated
May 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1786-123 WI
Clinical Social Worker 1041C0700X 22693 MN Primary

Addresses

Primary practice location

2000 W Superior St Ste 204
Duluth, MN 55806-2908

Mailing address

2000 W Superior St Ste 204
Duluth, MN 55806-2908
Phone (218) 451-3359

Other names 1

  • Nicole Vaineo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181008000968 MN Practitioner - Clinical Social Worker 2062764731 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Minnesota, Duluth School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwoods Therapeutic ServicesGroup PAC ID 5799296117, 2 clinicians

Practice addresses (Care Compare)

1771 Big Lake Rd
Cloquet, MN 55720-9704
Phone (612) 986-0638

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1786-123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northwoods Therapeutic Services Clinical CurrentSince Jan 28, 2025 Accepting new patients

Locations

2000 W Superior St
Ste 203
Duluth, MN 55806
Phone (218) 409-6632

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1194204420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W SUPERIOR ST STE 204",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558062908",
            "telephone_number": "218-451-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W SUPERIOR ST STE 204",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558062908",
            "telephone_number": "218-451-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "NICOLE",
        "credential": "MSW, LICSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1786-123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "VAINEO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.