Nicholas Drake, LICSW is a
Social Worker - Clinical based in Kingston, Washington. Nicholas Drake is licensed to practice in Washington (license number 61196656) and his current practice location is
27475 Gamble Bay Rd Ne, Kingston, Washington. He can be reached at his office (for appointments etc.) via phone at
(517) 410-7430.
NPI number for Nicholas Drake is 1417349176 and his current mailing address is 27475 Gamble Bay Rd Ne, Kingston, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417349176.
Healthcare Provider's Profile
Full Name | Nicholas Drake |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 27475 Gamble Bay Rd Ne, Kingston, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417349176
- Provider Enumeration Date: 03/04/2015
- Last Update Date: 09/27/2022
Medical Identifiers
Medical identifiers for Nicholas Drake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417349176 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 6802088156 (Michigan) | Secondary |
1041C0700X | Social Worker - Clinical | 61196656 (Washington) | 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. Nicholas Drake 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 |
Nicholas Drake, LICSW 27475 Gamble Bay Rd Ne, Kingston, WA 98346-9539 Ph: (517) 410-7430 | Nicholas Drake, LICSW 27475 Gamble Bay Rd Ne, Kingston, WA 98346-9539 Ph: (517) 410-7430 |
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