Nicole Michelle Drake, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9816-123 Issued in WI

Practice address

138 North Ave Ste 4
Hartland, WI 53029-1725

Phone

(262) 290-3163

Fax

(262) 910-5478

NPI assigned

Jan 3, 2020

Last updated

Mar 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 1, 2023 through Dec 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lake Country Therapist

  dba Lake Country Therapy

  • Clinical Social Worker
  • Hartland, WI
  • NPI 1962157826
  NPD Authorized official
• Breathe Wellness & Prenatal Care LLC

  • Case Management Agency
  • Waukesha, WI
  • NPI 1619739422
  NPD (past)
• Hope for a Better Tomorrow

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waukesha, WI
  • NPI 1376970657
  NPD (past)

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1780223073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 NORTH AVE STE 4",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530291725",
            "telephone_number": "262-290-3163",
            "fax_number": "262-910-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 NORTH AVE STE 4",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530291725",
            "telephone_number": "262-290-3163",
            "fax_number": "262-910-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "NICOLE",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "131500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9816-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780223073",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Ann Dexter - Schabow, MT-BC, WMTR
• Jacqueline Edwina Dombrowski, MSW, LCSW, CMT
• Jennifer Ann Douglas, TREATMENT TRAINEE 1
• Dr. Tim R. Seifert, Optometrist, S.C.
• Alyssa Eve Draeger, LMT
• Kyle Dunn, DDS
• Edp of Wisconsin, SC
• F. Greg LLC
• Kelly Ann Farber, L.C.S.W.
• David James Faust, DO

• Clinical Social Worker in Hartland, WI
• Providers in Hartland, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.