NICOLE MICHELLE DRAKE (NPI# 1780223073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780223073 |
| Entity Type | Individual |
| Full Name | NICOLE MICHELLE DRAKE |
| Credential | APSW |
| Practice Address |
2607 N Grandview Blvd Ste 110 Waukesha WI 53188-1690 |
| Mailing Address |
N8263 Woody Ln Ixonia WI 53036-9551 |
| Practice Telephone | 2623138339 |
| Mailing Telephone | 4144055067 |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2020-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
18217 | WI | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
131500 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407257785 | Nicole Drake | Counselor | 36 Green Grove Ave, #2, Keyport, NJ 07735-1839 | 2014-09-05 |
| 1558483933 | Nicole Marina Drake | Occupational Therapist | 414 N 2nd St, Grover Beach, CA 93433-1523 | 2007-04-04 |
| 1154466548 | Nicole Emily Drake | Physician Assistant | 1 Town Square Blvd Ste 220, Asheville, NC 28803 | 2007-02-21 |
| 1144714668 | Nicole Drake | Community Health Worker | 11 Graham Dr, Athens, OH 45701-1430 | 2018-06-18 |
| 1891163226 | Nicole Drake | Counselor | 1801 Olivers Crossing Cir, Winston Salem, NC 27127-7133 | 2015-09-02 |
| 1649666397 | Nicole Drake | Nurse Practitioner | 45 W Main St, Cuba, NY 14727-1403 | 2015-04-09 |
| 1164756805 | Nicole M Drake | Counselor | 101 E 6th St, Erie, PA 16501-1201 | 2009-09-29 |
| Street Address |
2607 N GRANDVIEW BLVD STE 110 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-1690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104975341 | Douglas Meske | Social Worker | 2607 N Grandview Blvd Ste 110, Waukesha, WI 53188 | 2007-01-09 |
| 1982229977 | Meghan Ashley Mahorski | Counselor | 2607 N Grandview Blvd Ste 110, Waukesha, WI 53188-1690 | 2020-06-15 |
| 1174147532 | Kylie Rae Slavek | Counselor | 2607 N Grandview Blvd Ste 110, Waukesha, WI 53188-1690 | 2020-06-02 |
| 1659993244 | Ashley Rotonto | Counselor | 2607 N Grandview Blvd Ste 110, Waukesha, WI 53188-1690 | 2020-05-18 |
| 1437790136 | Hannah Elizabeth Stadler | Counselor | 2607 N Grandview Blvd Ste 110, Waukesha, WI 53188-1690 | 2019-10-03 |
| 1396215190 | Arianna Katrichis | Counselor | 2607 N Grandview Blvd Ste 110, Waukesha, WI 53188-1690 | 2018-12-05 |
| 1295184083 | Kelsey Dillon | Counselor | 2607 N Grandview Blvd Ste 110, Waukesha, WI 53188-1690 | 2016-06-13 |
| 1053760140 | Athena Kjell | Counselor | 2607 N Grandview Blvd Ste 110, Waukesha, WI 53188-1690 | 2016-06-09 |
| 1699165969 | Patrice Flanagan-morris | Counselor | 2607 N Grandview Blvd Ste 110, Waukesha, WI 53188-1690 | 2015-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| 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 |
|---|---|---|---|---|
| 1043831670 | Sarah Penke | Social Worker | 1895 Haymarket Rd Apt 90, Waukesha, WI 53189-8507 | 2020-05-05 |
| 1902444029 | Ashley Westphal | Social Worker | 422 Hillview Cir, Waukesha, WI 53188-3228 | 2019-12-19 |
| 1093281370 | Tory Phonsavan Koetterhagen | Social Worker | W236s4564 Whispering Hills Ct, Waukesha, WI 53189-9772 | 2018-10-15 |
| 1861876138 | Nathan Amos | Social Worker | 1515 Paramount Dr, Waukesha, WI 53186-3959 | 2015-07-16 |
| 1598142937 | Sophia Marie Klingbiel | Social Worker | 1515 Paramount Dr., Waukesha, WI 53186 | 2015-05-06 |
| 1871998070 | Candace Lynn Williams | Social Worker | 2046 Cliff Alex Ct S Apt 3, Waukesha, WI 53189-8100 | 2014-10-30 |
| 1104975341 | Douglas Meske | Social Worker | 2607 N Grandview Blvd Ste 110, Waukesha, WI 53188 | 2007-01-09 |
| 1023170099 | Jerome Michael Loberg | Social Worker | 1501 Airport Rd., Waukesha, WI 53188 | 2006-12-15 |
| 1952416034 | Jennifer Foro | Social Worker | W231 N1440 Corporate Ct, #310, Waukesha, WI 53186 | 2006-08-20 |
| 1629099700 | Dennis Rody | Social Worker | 400 W Moreland Blvd, Waukesha, WI 53188-2412 | 2006-07-22 |
| Find all providers in WAUKESHA | ||||
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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.