| Nicole Marie Deprez, LICSW | |
|
249 5th St E, Tracy, MN 56175-1536 | |
| (507) 629-8400 | |
| Not Available |
| Full Name | Nicole Marie Deprez |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 249 5th St E, Tracy, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790471027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 24203 (Minnesota) | Primary |
| Entity Name | Sanford Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699869875 PECOS PAC ID: 6800707100 Enrollment ID: O20040715001116 |
| Entity Name | Sanford Health Network |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1942253547 PECOS PAC ID: 6800707100 Enrollment ID: O20060505000702 |
| Entity Name | Sanford Health Network |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1003851171 PECOS PAC ID: 6800707100 Enrollment ID: O20061104000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Marie Deprez, LICSW Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-9419 | Nicole Marie Deprez, LICSW 249 5th St E, Tracy, MN 56175-1536 Ph: (507) 629-8400 |
Angela Lee Deadrick, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 249 5th St E, Tracy, MN 56175 Phone: 507-629-3520 Fax: 507-212-8260 | |
Barbra Jo Hughes, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 249 5th St E, Tracy, MN 56175 Phone: 507-629-3520 |