Nicole Marie Brandt, LGSW, LADC is a
Social Worker based in Thief River Falls, Minnesota. Nicole Marie Brandt is licensed to practice in Minnesota (license number 29623) and her current practice location is
213 Labree Ave N Ste 100, Thief River Falls, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(218) 683-5141.
NPI number for Nicole Marie Brandt is 1114673183 and her current mailing address is 213 Labree Ave N Ste 100, Thief River Falls, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114673183.
Healthcare Provider's Profile
| Full Name | Nicole Marie Brandt |
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| Gender | Female |
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| Speciality | Social Worker |
|---|
| Location | 213 Labree Ave N Ste 100, Thief River Falls, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114673183
- Provider Enumeration Date: 02/28/2022
- Last Update Date: 02/28/2022
Medical Identifiers
Medical identifiers for Nicole Marie Brandt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114673183 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 305917 (Minnesota) | Secondary |
| 104100000X | Social Worker | 29623 (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 Marie Brandt 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 Marie Brandt, LGSW, LADC
213 Labree Ave N Ste 100,
Thief River Falls, MN 56701-2022
Ph: (218) 683-5141 | Nicole Marie Brandt, LGSW, LADC
213 Labree Ave N Ste 100,
Thief River Falls, MN 56701-2022
Ph: (218) 683-5141 |
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