Nicholas Drake, LICSW in Poulsbo, WA - Medicare Clinical Social Worker Provider

Nicholas Drake, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Poulsbo, Washington. He graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Peninsula Community Health Services and his current practice location is 19586 10th Ave Ne, Poulsbo, Washington. You can reach out to his office (for appointments etc.) via phone at (517) 410-7430.

Nicholas Drake is licensed to practice in Washington (license number 61196656) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417349176.

Contact Information

	Nicholas Drake, LICSW
	19586 10th Ave Ne, Poulsbo, WA 98370-7332
	(517) 410-7430
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas Drake
Gender	Male
Speciality	Clinical Social Worker
Experience	7 Years
Location	19586 10th Ave Ne, Poulsbo, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicholas Drake graduated from medical school in 2018

NPI Data:

NPI Number: 1417349176
Provider Enumeration Date: 03/04/2015
Last Update Date: 10/22/2025

Medicare PECOS Information:

PECOS PAC ID: 3476095969
Enrollment ID: I20240612001948

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	61196656 (Washington)	Primary
1041C0700X	Social Worker - Clinical	6802088156 (Michigan)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Peninsula Community Health Services	9436044781	53

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicholas Drake allows following entities to bill medicare on his behalf.

Entity Name	Peninsula Community Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982654182 PECOS PAC ID: 9436044781 Enrollment ID: O20040217000362

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 enrolled with medicare and thus, if eligible, can 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 19586 10th Ave Ne, Poulsbo, WA 98370-7332 Ph: (517) 410-7430

Reviews and Comments

Social Worker in Poulsbo, WA

Rebekah E Verdugo, LICSW, LCSW, SUDP Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1924 Nw Russell St, Poulsbo, WA 98370 Phone: 775-544-5065
Michelle Lynn Kunz, LSWAIC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 416 Ne Ohenry Ct, Poulsbo, WA 98370 Phone: 206-552-5927
Ms. Susan Marie Casagrande, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18978 Ne Front Street, Suite 201, Poulsbo, WA 98370 Phone: 360-626-3167 Fax: 360-633-4399
Alberta-jane Lawrence, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1050 Ne Hostmark St Ste 201, Poulsbo, WA 98370 Phone: 360-990-7330
Ms. Patricia Calhoun Gabreski, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19379 7th Ave Ne, Poulsbo, WA 98370 Phone: 360-394-1000
Mrs. Margaret Mary Aronson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 225 Nw Lindvig Way, #6, Poulsbo, WA 98370 Phone: 360-779-3125

Nicholas Drake, LICSW - Medicare Clinical Social Worker in Poulsbo, WA