Individual provider Active NPI

Nicole Lynn Frie, MSW LICSW

  • Clinical Social Worker
  • Sauk Centre, MN
National Provider Identifier
1881138709
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20581 Issued in MN
Practice address
425 Elm St N
Sauk Centre, MN 56378-1010
Phone
(320) 351-1762
Fax
(320) 351-1739
NPI assigned
Dec 12, 2016
Last updated
Jul 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20581 MN Primary

Addresses

Primary practice location

425 Elm St N
Sauk Centre, MN 56378-1010

Mailing address

425 Elm St N
Sauk Centre, MN 56378-1010
Phone (320) 351-1762

Other names 1

  • Nicole Pohlmann Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170119002623 MN Practitioner - Clinical Social Worker 8729360144 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centracare Health System - Sauk CentreGroup PAC ID 4981857216, shared by 3 NPIs, 24 clinicians

Practice addresses (Care Compare)

425 Elm St N
Sauk Centre, MN 56378-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20581MNMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Clinic Current Accepting new patients
Centracare Clinic CurrentSince Jan 1, 2019 Accepting new patients
Centracare Clinic CurrentSince Jan 1, 2019 Accepting new patients
Centracare Health System - Sauk Centre CurrentSince Mar 1, 2017 Accepting new patients
Centracare Health System - Sauk Centre Current Accepting new patients
Centracare Health System - Sauk Centre CurrentSince Mar 1, 2017 Accepting new patients
Centracare Clinic Past Accepting new patients
Centracare Clinic Past Accepting new patients

Locations

12800 Rolling Ridge Rd
Becker, MN 55308
Phone (763) 261-7000

715 1st St N
Cold Spring, MN 56320
Phone (320) 685-3693

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

425 Elm St N
Sauk Centre, MN 56378
Phone (320) 352-2221

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1881138709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ELM ST N",
            "city": "SAUK CENTRE",
            "state": "MN",
            "postal_code": "563781010",
            "telephone_number": "320-351-1762",
            "fax_number": "320-351-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 ELM ST N",
            "city": "SAUK CENTRE",
            "state": "MN",
            "postal_code": "563781010",
            "telephone_number": "320-351-1762",
            "fax_number": "320-351-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIE",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "credential": "MSW LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-12",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "POHLMANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sauk Centre, MN

Sources for this page

Verify at the official NPI Registry.