Individual provider Active NPI

Nicole Laferriere, LCSW

  • Clinical Social Worker
  • Crescent City, CA
National Provider Identifier
1285025486
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107329 Issued in CA
Practice address
515 E Washington Blvd
Crescent City, CA 95531-8342
Phone
(707) 460-1802
NPI assigned
Feb 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 107329 CA Primary

Addresses

Primary practice location

515 E Washington Blvd
Crescent City, CA 95531-8342

Mailing address

PO Box 1598
Colfax, CA 95713-1598
Phone (530) 401-2245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20220426001797 CA Practitioner - Clinical Social Worker 0042607855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stallant Medical Group IncGroup PAC ID 6406283845, 17 clinicians

Practice addresses (Care Compare)

515 E Washington Blvd
Crescent City, CA 95531-8342
Phone (707) 460-1802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Newstart Medical Group Inc CurrentSince Apr 4, 2022 Accepting new patients
Stallant Medical Group Inc CurrentSince Nov 15, 2025 Accepting new patients
Stallant Medical Group Inc CurrentSince Nov 15, 2025 Accepting new patients
Bravemind Counseling, Licensed Clinical Social Worker Corporation Clinical CurrentSince Dec 18, 2022 Accepting new patients
Rimrock Foundation Social Worker Past Accepting new patients
Foothill House of Hospitality PastSince Apr 3, 2022 Accepting new patients

Locations

515 E Washington Blvd
Crescent City, CA 95531
Phone (707) 460-1802

Interoperability endpoints

  • Direct secure messaging: nicole.lescher.1@11511.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1285025486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1598",
            "city": "COLFAX",
            "state": "CA",
            "postal_code": "957131598",
            "telephone_number": "530-401-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E WASHINGTON BLVD",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955318342",
            "telephone_number": "707-460-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFERRIERE",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "107329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crescent City, CA

Sources for this page

Verify at the official NPI Registry.