Nicole Siegel, LCSW, LCDC is a medicare enrolled "Social Worker - Clinical" provider in Southlake, Texas. Her current practice location is
2485 E Southlake Blvd Ste 180, Southlake, Texas. You can reach out to her office (for appointments etc.) via phone at
(682) 593-1272.
Nicole Siegel is licensed to practice in Texas (license number 57444) 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 1194134528.
Healthcare Provider's Profile
| Full Name | Nicole Siegel |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 2485 E Southlake Blvd Ste 180, Southlake, Texas |
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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. |
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Medical Education and Training:
- Nicole Siegel attended and graduated from in
NPI Data:
- NPI Number: 1194134528
- Provider Enumeration Date: 08/11/2014
- Last Update Date: 04/26/2017
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Nicole Siegel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194134528 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 11330 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 57444 (Texas) | 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 Siegel 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 Siegel, LCSW, LCDC
4142 Petersburg Dr,
Fort Worth, TX 76244-4373
Ph: (682) 593-1272 | Nicole Siegel, LCSW, LCDC
2485 E Southlake Blvd Ste 180,
Southlake, TX 76092-6687
Ph: (682) 593-1272 |
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