Nicolle R Nichols
Individual provider Active NPI Clinical Social Worker · Bemidji, MN
NPI 1407690209 · NPPES record last updated Jun 25, 2024
Key facts
- NPI
- 1407690209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 403 4TH St NW Ste 115
Bemidji, MN 56601-3155 - Phone
- (218) 308-8560
- NPI assigned
- Jun 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| I Am Incorporated | Clinical | Current |
Accepting new patients |
Locations
403 4th St NW
Ste 115
Bemidji, MN 56601
Phone (218) 214-9389
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
403 4TH St NW Ste 115
Bemidji, MN 56601-3155
Mailing address
403 4TH St NW Ste 115
Bemidji, MN 56601-3155
Phone (218) 308-8560
Other providers in Bemidji, MN
- David Paul Nelson
- Isabela Nelson
- Keith Allen Nelson
- Thien Nguyen
- Gabbriele Nibbe
- Natalie M. Nicholson
- Matthew John Nielsen
- Paul Daniel Nistler
- No 1 Ladies Advocacy Agency
- Susan Carol Nokleby
All providers in Bemidji, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.