NICOLE J WELLS (NPI# 1114538816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114538816 |
Entity Type | Individual |
Full Name | NICOLE J WELLS |
Credential | LCSW |
Practice Address |
4323 E 3rd St Bloomington IN 47401-5551 |
Mailing Address |
1360 S State Road 446 Bloomington IN 47401-8800 |
Practice Telephone | 8123343342 |
Mailing Telephone | 8123270283 |
Enumeration Date | 2020-08-14 |
Last Update Date | 2020-09-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
34008919A | IN | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
645 S Rogers St, Bloomington, IN 474032353 | 8123391691 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962764464 | Nicole L Wells | Home Health | 1235 Nova Ter, Titusville, FL 32796-1994 | 2012-06-11 |
1144595505 | Nicole Renee Wells | Counselor | 805 Nw 120th Ter, Oklahoma City, OK 73114-7207 | 2012-03-19 |
1952918609 | Nicole Elizabeth Wells | Social Worker | 471 W South St Ste 41b, Kalamazoo, MI 49007-4673 | 2020-09-28 |
1972135671 | Nicole Wells | Behavior Technician | 11770 Bernardo Plaza Ct Ste 350, San Diego, CA 92128-2426 | 2020-02-10 |
1053805630 | Nicole Wells | Community Health Worker | 11 Graham Dr, Athens, OH 45701-1430 | 2018-06-18 |
1871098574 | Nicole E Wells | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2018-03-26 |
1700279296 | Nicole Elizabeth Wells | Registered Nurse | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2015-03-09 |
1356746614 | Nicole K Wells | Psychologist | 825 Fairfax Ave, Suite 710, Norfolk, VA 23507-1914 | 2014-10-29 |
1497155261 | Nicole Wells | Physical Therapy Assistant | 142 Clearview Cir, Butler, PA 16001-1565 | 2014-08-29 |
1851701379 | Nicole Wells | Social Worker | 625 Court St, Sioux City, IA 51101-1919 | 2014-05-06 |
Street Address |
4323 E 3RD ST |
City | BLOOMINGTON |
State | IN |
Zip Code | 47401-5551 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316910367 | Thelma Lynn Young-bolden | Registered Nurse | 4323 E 3rd St, Bloomington, IN 47401-5551 | 2006-02-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740765791 | Holly G Carter | Physical Therapist | 3607 Heirloom Dr, Bloomington, IN 47401 | 2018-09-26 |
1285116657 | Kimberly D Bergan | Occupational Therapist | 3607 S Heirloom Dr, Bloomington, IN 47401 | 2018-09-03 |
1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
1881104289 | Ev Bloomington Limited Partnership | Assisted Living Facility | 3607 South Heirloom Drive, Bloomington, IN 47401 | 2017-10-11 |
1619496536 | Kirsten N Neely | Physical Therapist | 2604 E. Creek's Edge Dr., Bloomington, IN 47401 | 2017-09-12 |
1023533908 | Hoosier United Therapy Service LLC | Physical Therapist | 2801 E Plateau Place, Bloomington, IN 47401 | 2017-08-11 |
1194127381 | Ann Marie Neeley | Lactation Consultant, Non-RN | 2458 South Walnut Street, Bloomington, IN 47401 | 2014-09-19 |
1518397801 | Indiana Spine and Sports Inc. | Chiropractor | 418 S Walnut St Suite C, Bloomington, IN 47401 | 2013-11-22 |
1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
Find all providers in zip 47401 |
Taxonomy Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770101875 | Leah Elizabeth Sinn Iversen | Social Worker | 518 N Colony Ct, Bloomington, IN 47408-3012 | 2020-07-06 |
1972128825 | Elizabeth Heid Counseling Services LLC | Social Worker | 2103 E Washington St Bldg 1, Bloomington, IL 61701-4310 | 2020-06-16 |
1144845389 | Debra Diann Terfruchte | Social Worker | 2001 Withers Ln, Bloomington, IL 61704-9069 | 2020-06-13 |
1144857301 | Megan Stahly | Social Worker | 827 W 14th Ct, Bloomington, IN 47404-3347 | 2020-03-26 |
1659906634 | The Healing Tree Psychotherapy and Consulting Services, LLC | Social Worker | 2103 E Washington St Ste 2g, Bloomington, IL 61701-4365 | 2020-03-10 |
1972147429 | Nina Maria Castronova | Social Worker | 1886 E Cheyanne Ln, Bloomington, IN 47401-4143 | 2019-10-28 |
1942852488 | Kaitlin King, LLC. | Social Worker | 408 E. Dodds, Bloomington, IN 47401-4819 | 2019-07-15 |
1215400791 | Elizabeth Therese Heid | Social Worker | 2302 E Oakland Ave Ste 7, Bloomington, IL 61701-5875 | 2019-01-07 |
1689143232 | James Baugh | Social Worker | 1408 S Walnut St Ste A, Bloomington, IN 47401-5888 | 2018-11-13 |
1306344007 | Jillian Gonterman | Social Worker | 804 N College Ave, Bloomington, IN 47404-3526 | 2018-01-28 |
Find all providers in BLOOMINGTON |
City | BLOOMINGTON |
Zip Code | 47401 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.