| Nichole R Kottke, LICSW | |
|
615 1st Ave Ne Ste 310, Minneapolis, MN 55413-2419 | |
| (612) 436-0295 | |
| (612) 436-0163 |
| Full Name | Nichole R Kottke |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 10 Years |
| Location | 615 1st Ave Ne Ste 310, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457854721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 24446 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mental Health Counseling Services Llc | 3173675790 | 31 |
| Entity Name | Mental Health Counseling Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679717524 PECOS PAC ID: 3173675790 Enrollment ID: O20090713000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Nichole R Kottke, LICSW 615 1st Ave Ne Ste 310, Minneapolis, MN 55413-2419 Ph: (612) 436-0295 | Nichole R Kottke, LICSW 615 1st Ave Ne Ste 310, Minneapolis, MN 55413-2419 Ph: (612) 436-0295 |
Mr. Tim D Sullivan, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 229 Ridgewood Ave, Apartment 112, Minneapolis, MN 55403 Phone: 612-600-7169 | |
Catherine Elaine Mcnaughton, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 612-813-6138 | |
Don Coleman, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2430 Nicollet Ave, Minneapolis, MN 55404 Phone: 612-871-1454 Fax: 612-871-1505 | |
Seare Shibeshi, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2327 E Franklin Ave Ste 3, Minneapolis, MN 55406 Phone: 612-332-9124 | |
Alex Jacob Hoyt, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4027 County Road 25, Minneapolis, MN 55416 Phone: 612-925-6033 Fax: 612-925-8496 | |
Elissa J Allen, LGSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 866-603-0016 | |
Sydney Bartz, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 Glenwood Ave, Minneapolis, MN 55405 Phone: 612-871-1454 |