Nicole Rasmussen, LCSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

73 084812 Issued in NY

Practice address

9601 Main St
Holland Patent, NY 13354-4618

Phone

(315) 865-8151

NPI assigned

Oct 19, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nicole Wilczek Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Holland Patent Central School District

  • Local Education Agency (LEA)
  • Holland Patent, NY
  • NPI 1952452740
  NPD (past)

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1376094854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 MAIN ST",
            "city": "HOLLAND PATENT",
            "state": "NY",
            "postal_code": "133544618",
            "telephone_number": "315-865-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 MAIN ST",
            "city": "HOLLAND PATENT",
            "state": "NY",
            "postal_code": "133544618",
            "telephone_number": "315-865-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "73 084812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01390578",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "WILCZEK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julia E Newman, LPN
• John Noviasky, PHARMD
• Theresa Ann Oleski, CCC/SLP
• Lorenza M Parzych, MS SPECIAL EDUCATION
• Jason Patterson
• Carrie L Ryan, RPH
• Courtney A Ryer, PT
• Jamie Lee Strobel, LMSW
• Matthew Tennyson, PHARMD.
• Laura Beth Wilson, LPN

• School Social Worker in Holland Patent, NY
• Providers in Holland Patent, NY by specialty
• School Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.