Mrs Lauren Krause Nickum, is a
Social Worker - Clinical based in Fairfax, Virginia. Mrs Lauren Krause Nickum is licensed to practice in Virginia (license number 0904011367) and her current practice location is
8221 Willow Oaks Corporate Dr, Fairfax, Virginia. She can be reached at her office (for appointments etc.) via phone at
(703) 352-3431.
NPI number for Mrs Lauren Krause Nickum is 1992342984 and her current mailing address is 8221 Willow Oaks Corporate Dr, Fairfax, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992342984.
Healthcare Provider's Profile
| Full Name | Mrs Lauren Krause Nickum |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 8221 Willow Oaks Corporate Dr, Fairfax, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1992342984
- Provider Enumeration Date: 12/09/2019
- Last Update Date: 02/25/2022
Medical Identifiers
Medical identifiers for Mrs Lauren Krause Nickum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992342984 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0710102786 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904011367 (Virginia) | 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. Mrs Lauren Krause Nickum 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 |
|---|
Mrs Lauren Krause Nickum,
8221 Willow Oaks Corporate Dr,
Fairfax, VA 22031-4512
Ph: (703) 352-3431 | Mrs Lauren Krause Nickum,
8221 Willow Oaks Corporate Dr,
Fairfax, VA 22031-4512
Ph: (703) 352-3431 |
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