NICKLES COUNSELING, LLC (NPI# 1144708942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144708942 |
| Entity Type | Organization |
| Organization Name | NICKLES COUNSELING, LLC |
| Practice Address |
401 Wisconsin Ave Madison WI 53703-1487 |
| Practice Telephone | 6082565115 |
| Practice Fax Number | 6082565116 |
| Mailing Telephone | 6082565115 |
| Mailing Fax Number | 6082565116 |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |
| Authorized Official Name | MS. CAROL VENETA NICKLES (PSYCHOTHERAPIST) |
| Authorized Official Telephone | 6082565115 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2843-123 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1780138776 | 05 |
| Street Address |
401 WISCONSIN AVE |
| City | MADISON |
| State | WI |
| Zip Code | 53703-1487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659452571 | Holly Jorgenson | Counselor | 401 Wisconsin Ave, Suite 100, Madison, WI 53703-1487 | 2006-10-18 |
| 1245895754 | Mind Evolution | Social Worker | 401 Wisconsin Ave, Madison, WI 53703-1487 | 2019-05-09 |
| 1609362268 | Abbey Scherer, L.L.C. | Counselor | 401 Wisconsin Ave, Madison, WI 53703-1487 | 2018-07-06 |
| 1780138776 | Carol Nickles | Social Worker | 401 Wisconsin Ave, Madison, WI 53703-1487 | 2016-08-08 |
| 1952767659 | Laura Ruskaup | Counselor | 401 Wisconsin Ave, Madison, WI 53703-1487 | 2016-01-11 |
| 1861803512 | Interpersonnel | Counselor | 401 Wisconsin Ave, Madison, WI 53703-1487 | 2014-05-15 |
| 1649607821 | Amy Christine Ginko | Counselor | 401 Wisconsin Ave, Madison, WI 53703-1487 | 2013-10-02 |
| 1942555321 | Elizabeth Maureen Reeder | Marriage & Family Therapist | 401 Wisconsin Ave, Madison, WI 53703-1487 | 2012-07-20 |
| 1720346786 | Rachele Klassy | Social Worker | 401 Wisconsin Ave, Madison, WI 53703-1487 | 2012-04-27 |
| 1972876407 | Abbey Marie Scherer | Counselor | 401 Wisconsin Ave, Madison, WI 53703-1487 | 2012-02-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689291254 | Lynne's Moc, LLC | Optometrist | 512 State Street, Madison, WI 53703 | 2020-06-30 |
| 1407327844 | Deborah Ann Pape | Psychologist | 350 S. Hamilton St., Unit 504, Madison, WI 53703 | 2018-12-11 |
| 1336660216 | Kevin Shuai Lian | Radiology | 420 W Dayton St Unit 1142, Madison, WI 53703 | 2017-06-30 |
| 1295279461 | Colin T Graney | Podiatrist | 664 W. Washington Ave, Madison, WI 53703 | 2016-12-07 |
| 1093193690 | Ashley Przybilla | Pediatrics | Group Health Cooperative of South Central Wisconsin, 675 West Washington Avenue, Madison, WI 53703 | 2015-05-14 |
| 1043606841 | Kevin P Emmerich | Emergency Medicine | 390 West Johnson St, Madison, WI 53703 | 2015-04-09 |
| 1376983155 | Ann Renee Wingate | Counselor | 16 N. Hancock Street, Hancock Center, Madison, WI 53703 | 2013-06-26 |
| 1013269398 | See Inc | Optometrist | 437 State St, Madison, WI 53703 | 2012-10-10 |
| 1518243237 | Nathan Dufault | Specialist/Technologist | 305 S. Livingston St., Madison, WI 53703 | 2011-10-26 |
| 1518264142 | Candice Y Lewis | Health Maintenance Organization | 675 W.washington Ave. Group Health Cooperative of South, Madison, WI 53703 | 2011-02-17 |
| Find all providers in zip 53703 | ||||
| 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 |
|---|---|---|---|---|
| 1306446257 | Richard Harry Goldberg | Social Worker | 1514 Wood Ln, Madison, WI 53705-1457 | 2020-10-29 |
| 1710586219 | Megan Beckler | Social Worker | 49 Kessel Ct Bldg 25, Madison, WI 53711-6200 | 2020-10-26 |
| 1003436759 | Creating Space, LLC | Social Worker | 1915 Winnebago St Ste 101, Madison, WI 53704-5322 | 2020-04-23 |
| 1871143370 | Cecilia Goldschmidt | Social Worker | 2445 Darwin Rd Ste 15, Madison, WI 53704-3116 | 2019-09-17 |
| 1699321760 | Golden Vibes Counseling Center | Social Worker | 303 S Paterson St, Madison, WI 53703-4528 | 2019-08-14 |
| 1285293530 | Bianca Whitney | Social Worker | 506 Charles Ln, Madison, WI 53711-1312 | 2019-06-11 |
| 1598322505 | Judith Coursen Stevens | Social Worker | 147 Durham Road, Madison, CT 06443-1262 | 2019-05-24 |
| 1750840575 | Kimberly Michelle Horton | Social Worker | 102 Crabapple Grv, Madison, MS 39110-7098 | 2019-03-19 |
| 1497211387 | Latasha Monique Williams | Social Worker | Patriot Place (va), 314 Williams Avenue, Ste. 100, Madison, TN 37115 | 2019-02-15 |
| 1528536976 | Emily Elizabeth Morris | Social Worker | 4002 Nakoosa Trl, Madison, WI 53714-1314 | 2018-11-04 |
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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.