Active NPI
Nicole Marie Klutz
- Clinical Social Worker
- Hickory, NC
National Provider Identifier
1336784958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C016127
- Practice address
- 106 3Rd Ave NE
Hickory, NC 28601-5014 - Phone
- (828) 322-9130
- Fax
- (828) 322-7890
- NPI assigned
- Nov 7, 2019
- Last updated
- Jan 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C016127 | NC | Primary |
Addresses
Primary practice location
106 3Rd Ave NE
Hickory, NC 28601-5014
Mailing address
106 3Rd Ave NE
Hickory, NC 28601-5014
Phone (828) 322-9130
Other names 1
- Nicole K McManus
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C016127 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Counseling Group, P.a. | Multi-Specialty | Current | Accepting new patients |
Locations
106 3rd Ave NE
Hickory, NC 28601
Phone (828) 322-8736
Organizations & group practices 1
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": "1573084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1336784958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 3RD AVE NE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286015014",
"telephone_number": "828-322-9130",
"fax_number": "828-322-7890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 3RD AVE NE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286015014",
"telephone_number": "828-322-9130",
"fax_number": "828-322-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUTZ",
"first_name": "NICOLE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-07",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C016127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "MCMANUS",
"middle_name": "K",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.