Nicole Lake, is a medicare enrolled "Social Worker - Clinical" provider in Portsmouth, New Hampshire. Her current practice location is
67 Corporate Dr, Portsmouth, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 610-8050.
Nicole Lake is licensed to practice in New Hampshire (license number 5025) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285211300.
Healthcare Provider's Profile
Full Name | Nicole Lake |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 67 Corporate Dr, Portsmouth, New Hampshire |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Nicole Lake attended and graduated from in
NPI Data:
- NPI Number: 1285211300
- Provider Enumeration Date: 03/25/2021
- Last Update Date: 07/26/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Nicole Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285211300 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 5025 (New Hampshire) | 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 Lake 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 |
Nicole Lake, Po Box 412503, Boston, MA 02241-2503 Ph: () - | Nicole Lake, 67 Corporate Dr, Portsmouth, NH 03801-2847 Ph: (603) 610-8050 |
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