Nicky Besette, LCSW, LICSW
Individual provider Active NPI Clinical Social Worker · Wahpeton, ND
NPI 1851031397 · NPPES record last updated Apr 9, 2025
Key facts
- NPI
- 1851031397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 24305 (MN)
- Practice address
- 500 Dakota Ave Ste 106
Wahpeton, ND 58075-4444 - Phone
- (017) 730-4395
- NPI assigned
- Mar 31, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
500 Dakota Ave
Suite 106
Wahpeton, ND 58075-4444
Phone (701) 642-1487
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260112003535 | ND | Practitioner - Clinical Social Worker | 8820574569 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24305 | MN | MD | Clinical Social Worker |
| 4849 | ND | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River'S Edge Counseling | Single Specialty | Current |
Accepting new patients |
Locations
500 Dakota Ave
Ste 106
Wahpeton, ND 58075
Phone (701) 642-1487
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4849 | ND | |
| Clinical Social Worker |
1041C0700X | 24305 | MN | Yes |
Addresses
Primary practice location
500 Dakota Ave Ste 106
Wahpeton, ND 58075-4444
Mailing address
PO Box 33
Abercrombie, ND 58001-0033
Other practice location 1
115 5th St N
Breckenridge, MN 56520-1420
Phone (219) 643-9330
Other practice location 2
500 Dakota Ave Ste 106
Wahpeton, ND 58075-4444
Phone (017) 730-4395
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6874 | Other | ND | ND BOARD OF SOCIAL WORK |
| 24305 | Other | MN | MN BOARD OF SOCIAL WORK |
Other providers in Wahpeton, ND
- Connor Ramon Barton
- Benedictine Living Communities, Inc.
- Benedictine Living Communities, Inc.
- Benedictine Living Community of Wahpeton
- Cheri J Berge
- Megan J Biegler
- Meridith Leigh Biel
- Grace Birchem-Mangalaw
- Tracy Lynn Bjugstad
- Rhiannon Skye Blatchford
All providers in Wahpeton, ND · Clinical Social Worker in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.