Mr Blake Baker Nicholson Iii, LCSW in Greeley, CO - Medicare Clinical Social Worker Provider

Mr Blake Baker Nicholson Iii, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Greeley, Colorado. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1998 and has 28 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Poudre Valley Medical Group Llc and his current practice location is 928 12th St, Greeley, Colorado. You can reach out to his office (for appointments etc.) via phone at (970) 336-4910.

Mr Blake Baker Nicholson Iii is licensed to practice in Colorado (license number 992906) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1891769261.

Contact Information

	Mr Blake Baker Nicholson Iii, LCSW
	928 12th St, Greeley, CO 80631-4024
	(970) 336-4910
	(970) 336-5000

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Blake Baker Nicholson Iii
Gender	Male
Speciality	Clinical Social Worker
Experience	28 Years
Location	928 12th St, Greeley, Colorado
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Blake Baker Nicholson Iii attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1998

NPI Data:

NPI Number: 1891769261
Provider Enumeration Date: 02/14/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6507881695
Enrollment ID: I20051007000478

Medical Identifiers

Medical identifiers for Mr Blake Baker Nicholson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891769261	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	992906 (Colorado)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Poudre Valley Medical Group Llc	9638208549	2394

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Blake Baker Nicholson Iii is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Blake Baker Nicholson Iii, LCSW 590 Far View Ln, Estes Park, CO 80517-9049 Ph: (970) 577-0606	Mr Blake Baker Nicholson Iii, LCSW 928 12th St, Greeley, CO 80631-4024 Ph: (970) 336-4910

Reviews and Comments

Social Worker in Greeley, CO

Jennifer Wallace, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1300 N 17th Ave, Greeley, CO 80631 Phone: 970-347-2120
Laura Reid, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2101 16th St, Greeley, CO 80631 Phone: 970-573-7593
Jarah Adrianna Grashorn, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-810-2044
Breanna Vandenbosch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2907 68th Ave, Greeley, CO 80634 Phone: 970-988-4295
Sarah Wendt, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1300 N 17th Ave, Greeley, CO 80631 Phone: 970-347-2302
Mr. Thomas Greeley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 928 12th St, Greeley, CO 80631 Phone: 970-347-2120
Caitlin Emily Buchholz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1300 N 17th Ave, Greeley, CO 80631 Phone: 970-347-2120

Mr Blake Baker Nicholson Iii, LCSW - Medicare Clinical Social Worker in Greeley, CO