Nicole Dorothy Watson, MSW, LICSW is a
Social Worker - Clinical based in Duluth, Minnesota. Nicole Dorothy Watson is licensed to practice in Minnesota (license number 21967) and her current practice location is
394 S Lake Ave Ste 515, Duluth, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(218) 206-6676.
NPI number for Nicole Dorothy Watson is 1043713282 and her current mailing address is 394 S Lake Ave Ste 515, Duluth, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043713282.
Healthcare Provider's Profile
| Full Name | Nicole Dorothy Watson |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 394 S Lake Ave Ste 515, Duluth, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043713282
- Provider Enumeration Date: 03/14/2018
- Last Update Date: 04/07/2026
Medical Identifiers
Medical identifiers for Nicole Dorothy Watson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1043713282 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 79699 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 21967 (Minnesota) | 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 Dorothy Watson 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 Dorothy Watson, MSW, LICSW 394 S Lake Ave Ste 515, Duluth, MN 55802-2325 Ph: (218) 206-6676 | Nicole Dorothy Watson, MSW, LICSW 394 S Lake Ave Ste 515, Duluth, MN 55802-2325 Ph: (218) 206-6676 |
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