Active NPI
Nicole Helene Gies, LCSW, RADC-I
- Clinical Social Worker
- Menomonee Falls, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7319-123
- Practice address
- N91W17271 Appleton Ave
Menomonee Falls, WI 53051-2045 - Phone
- (262) 502-3300
- Fax
- (262) 532-9585
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13989 | WI | |
| Clinical Social Worker | 1041C0700X | 7319-123 | WI | Primary |
Addresses
Primary practice location
N91W17271 Appleton Ave
Menomonee Falls, WI 53051-2045
Mailing address
N91W17271 Appleton Ave
Menomonee Falls, WI 53051-2045
Phone (262) 502-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43717400 | Medicaid | WI |
Other names 1
- Nicole Helene Lavin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- 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 |
|---|---|---|---|
| 13989 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 7319-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paws for Counseling | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients |
Locations
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
W129N7055 Northfield Dr
Menomonee Falls, WI 53051
Phone (262) 251-5305
N91W17271 Appleton Ave
Menomonee Fls, WI 53051
Phone (262) 502-3300
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
840 N 87th St
Wauwatosa, WI 53226
Phone (414) 805-5540
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Mental Health Counselor
- Waukesha, WI
- NPI 1235653643
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286236800000",
"number": "1609912559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N91W17271 APPLETON AVE",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530512045",
"telephone_number": "262-502-3300",
"fax_number": "262-532-9585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N91W17271 APPLETON AVE",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530512045",
"telephone_number": "262-502-3300",
"fax_number": "262-532-9585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIES",
"first_name": "NICOLE",
"middle_name": "HELENE",
"credential": "LCSW, RADC-I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2010-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "13989",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "7319-123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43717400",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "LAVIN",
"middle_name": "HELENE",
"credential": "LCSW,RADC-I",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Menomonee Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.