Nicole Renea Nethery, LCSW is a 
Social Worker - Clinical based in Ellettsville, Indiana. Nicole Renea Nethery is licensed to practice in Indiana (license number 34008563A) and her current practice location is 
6691 W Legacy Ln, Ellettsville, Indiana. She can be reached at her office (for appointments etc.) via phone at 
(812) 272-0591.
NPI number for Nicole Renea Nethery is 1063166684 and her current mailing address is 6691 W Legacy Ln, Ellettsville, Indiana. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063166684.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Nicole Renea Nethery | 
|---|
| Gender | Female | 
|---|
| Speciality | Social Worker - Clinical | 
|---|
| Location | 6691 W Legacy Ln, Ellettsville, Indiana | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1063166684
- Provider Enumeration Date: 02/11/2022
- Last Update Date: 02/11/2022
 
		 
		 
Medical Identifiers
		Medical identifiers for Nicole Renea Nethery such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1063166684 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 1041C0700X | Social Worker - Clinical | 34008563A (Indiana) | Primary | 
		
		
			
			
			
		
		
		 
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. Nicole Renea Nethery is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Nicole Renea Nethery, LCSW 6691 W Legacy Ln,
 Ellettsville, IN 47429-9267
 Ph: (812) 272-0591
 | Nicole Renea Nethery, LCSW 6691 W Legacy Ln,
 Ellettsville, IN 47429-9267
 Ph: (812) 272-0591
 | 
		
		 
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