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NICOLE ADELA MIELNICKI LCSWA
NPI 1124511878
Social Worker in Charlotte, NC

Active since June 07, 2018Opted out of Medicare · through Dec 3, 2026
5200 PARK RD STE 102C, CHARLOTTE, NC 28209(704) 433-5267 Get Directions Write a Review

NPPES record last updated: June 7, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicole Adela Mielnicki Lcswa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE ADELA MIELNICKI LCSWA (NPI 1124511878) is an individual social worker in Charlotte, North Carolina, licensed in North Carolina (P012382) and active in the NPI registry since June 2018. She has opted out of Medicare through December 3, 2026.

NPPES Registry Identity

NPI1124511878
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameNICOLE ADELA MIELNICKICredential: LCSWA
Location Address5200 PARK RD STE 102CCharlotte, NC 28209-3650
Mailing Address4602 Waterford Knoll Dr Apt 1527Charlotte, NC 28226-8650 · (631) 255-3819
Phone(704) 433-5267
Sole ProprietorNo
Enumeration DateJune 7, 2018
✔ NPI 1124511878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NC · P012382
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
5200 PARK RD STE 102C, Charlotte, NC 28209
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Nicole Adela Mielnicki Lcswa has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 3, 2024 through December 3, 2026.

Opt-Out Effective DateDecember 3, 2024
Opt-Out In Effect ThroughDecember 3, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CORINNE LAVAUGHN GEARY-LITTLE
Social Worker (Clinical)
5200 PARK RD STE 102C
CHARLOTTE, NC 28209
Mecklenburg County (704) 850-6479
NIYARNA MERCEDES ROBERTS
Social Worker (Clinical)
5200 PARK RD STE 102C
CHARLOTTE, NC 28209
Mecklenburg County (704) 433-5267
CARRIE HAMILTON WILSON
Counselor (Professional)
5200 PARK RD STE 102C
CHARLOTTE, NC 28209
Mecklenburg County (704) 433-5267
MS. MARINA B SKRABALAK
Social Worker
5200 PARK RD STE 102C
CHARLOTTE, NC 28209
Mecklenburg County (518) 366-3105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Mielnicki's NPI number?

The NPI number for Nicole Mielnicki is 1124511878. It was assigned to this individual provider in the NPPES registry on June 7, 2018.

Where is Nicole Mielnicki located?

Nicole Mielnicki practices at 5200 Park Rd Ste 102C, Charlotte, NC 28209. The listed phone number is (704) 433-5267.

What is Nicole Mielnicki's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Nicole Mielnicki enrolled in Medicare?

No. Nicole Mielnicki has opted out of Medicare through December 3, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Nicole Mielnicki was last updated on June 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.