Nicole Lindberg

Primary specialty

Social WorkerTaxonomy code 104100000X

License

35038 Issued in MN

Practice address

407 W Broadway Ave
Forest Lake, MN 55025-1402

Phone

(612) 236-8994

NPI assigned

Jun 28, 2010

Last updated

Jun 15, 2026By the provider in NPPES

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 Leclair Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Pathfinder Counseling Services, Inc.

  • Clinic/Center
  • Saint Paul, MN
  • NPI 1235554445
  NPD (past)

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1265743900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W BROADWAY AVE",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550251402",
            "telephone_number": "612-236-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W BROADWAY AVE",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550251402",
            "telephone_number": "612-236-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDBERG",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-28",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "35038",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "307413",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "LECLAIR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Jeffrey Lewis, D.C.
• Kyle Lewis, D.C.
• Libby Dental, LLC
• Rebecca J Lietzow, FNP
• Life Roads, LLC
• Jason M Logan, MD
• Joseph Martin Lohse, DDS
• Luxottica of America Inc. (Target Optical #4051)
• Sheila A Maassen, PT
• Helen M Magnuson, PHARM.D.

• Social Worker in Forest Lake, MN
• Providers in Forest Lake, MN by specialty
• Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.