Individual provider Active NPI

Nikki Frances Woods, LICSW

  • Clinical Social Worker
  • Prior Lake, MN
National Provider Identifier
1942916887
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28875 Issued in MN
Practice address
16180 Hastings Ave SE Ste 205
Prior Lake, MN 55372-9228
Phone
(952) 443-4600
NPI assigned
Jan 24, 2023
Last updated
Apr 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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 28875 MN Primary

Addresses

Primary practice location

16180 Hastings Ave SE Ste 205
Prior Lake, MN 55372-9228

Mailing address

16180 Hastings Ave SE Ste 205
Prior Lake, MN 55372-9228

Other names 1

  • Nikki Stevens 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
I20230414000264 MN Practitioner - Clinical Social Worker 4981079431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lorenz Clinic LLCGroup PAC ID 7810282845, 24 clinicians

Practice addresses (Care Compare)

16180 Hastings Ave SE
Suite 205
Prior Lake, MN 55372-9228
Phone (952) 443-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lorenz Clinic, LLC CurrentSince Feb 20, 2023 Accepting new patients

Locations

16180 Hastings Ave SE
Ste 205
Prior Lake, MN 55372
Phone (952) 463-4600

1772 Stieger Lake Ln
Ste 220
Victoria, MN 55386
Phone (952) 433-4600

1120 Wayzata Blvd E
Ste 210
Wayzata, MN 55391
Phone (218) 929-0732

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16506/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1942916887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16180 HASTINGS AVE SE STE 205",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553729228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16180 HASTINGS AVE SE STE 205",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553729228",
            "telephone_number": "952-443-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "NIKKI",
        "middle_name": "FRANCES",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "28875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKKI",
            "last_name": "STEVENS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prior Lake, MN

Sources for this page

Verify at the official NPI Registry.