NICOLE KAUL MSW, LICSW
NPI 1205487980
Social Worker - Clinical in Golden Valley, MN

Q: What is Nicole Kaul's NPI number?

The NPI number for Nicole Kaul is 1205487980. It was assigned to this individual provider in the NPPES registry on September 24, 2019.

Q: What is Nicole Kaul's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Kaul was last updated on April 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 24, 2019PECOS EnrolledAccepts Medicare Assignment

1405 LILAC DR N STE 151, GOLDEN VALLEY, MN 55422(763) 525-1746 Get Directions Write a Review

NPPES record last updated: April 30, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Nicole Kaul Msw, Licsw NPPES

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

NICOLE KAUL MSW, LICSW (NPI 1205487980) is an individual clinical provider in Golden Valley, Minnesota, licensed in Minnesota (25444) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1205487980

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameNICOLE KAULCredential: MSW, LICSW

Location Address1405 LILAC DR N STE 151Golden Valley, MN 55422-4536

Mailing Address3322 15th Ave S Apt 2Minneapolis, MN 55407-7209

Phone(763) 525-1746

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 24, 2019

Last NPPES UpdateApril 30, 2020

NPPES CertifiedApril 30, 2020

✔ NPI 1205487980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MN · 25444

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1405 LILAC DR N STE 151, Golden Valley, MN 55422

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Secondary Practice Locations 2

Location 12600 E 38th StMinneapolis, MN 55406-3022 · Phone (218) 269-7959

Location 2225 1st Ave NEOsseo, MN 55369-1201 · Phone (218) 269-7959

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Kaul Msw, Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153752019

PECOS Enrollment IDI20200508000085

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Nicole Kaul reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Express Care

5.1 mi

Rehabilitation

9220 BASS LAKE RD, SUITE 260
New Hope, MN 55428

Reassigned Medicare billing, Minnesota enrollment
3,633 clinicians in this Medicare group

NPI 1316318074 (763) 533-0363

Fairview Health Services

5.9 mi

General Acute Care Hospital

2450 RIVERSIDE AVE
Minneapolis, MN 55454

Reassigned Medicare billing, Minnesota enrollment
4,038 clinicians in this Medicare group

NPI 1013994359 (612) 672-6000

Fairview Specialty Services

5.9 mi

Physical Therapy

2450 RIVERSIDE AVE
Minneapolis, MN 55454

Reassigned Medicare billing, Minnesota enrollment
2,373 clinicians in this Medicare group

NPI 1043199334 (855) 324-7843

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55422 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.00 – $168.28

Typical copayment $0.00 (range $14.00 – $42.07)

Most-billed visit code NA

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

MEGAN ELIZABETH SHAW LMFT, LADC

Marriage & Family Therapist