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NICHOLAS DRAKE LICSW
NPI 1417349176
Social Worker - Clinical in Poulsbo, WA

Active since March 04, 2015PECOS EnrolledAccepts Medicare Assignment
19586 10TH AVE NE, POULSBO, WA 98370(517) 410-7430 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 13, 2026, Sep 27, 2022 (2 updates tracked since 2022).

About Nicholas Drake Licsw NPPES

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

NICHOLAS DRAKE LICSW (NPI 1417349176) is an individual clinical provider in Poulsbo, Washington, licensed in Washington (LW61196656) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1417349176
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameNICHOLAS DRAKECredential: LICSW
Location Address19586 10TH AVE NEPoulsbo, WA 98370-7332
Mailing Address27475 Gamble Bay Rd NeKingston, WA 98346-9539 · (517) 410-7430
Phone(517) 410-7430
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 4, 2015
Last NPPES UpdateMarch 13, 20262 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
✔ NPI 1417349176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in WA · LW61196656✔ Licensed in MI · 6802088156
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.
Also ListedSocial WorkerTaxonomy 104100000X · License LW61196656 (WA)
19586 10TH AVE NE, Poulsbo, WA 98370
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence 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

Nicholas Drake 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 ID3476095969
PECOS Enrollment IDI20240612001948
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 Reassignment

Medicare enrollment records show Nicholas Drake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peninsula Community Health Services
0.4 mi
Federally Qualified Health Center (FQHC)
19917 7TH AVE NE, SUITE 205
Poulsbo, WA 98370
  • Reassigned Medicare billing, Washington enrollment
  • 51 clinicians in this Medicare group
NPI 1013969351 (360) 377-3776

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 98370 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 $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 6

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

SMARTSPEIDEL LLC
Chiropractor
19586 10TH AVE NE, STE 100
POULSBO, WA 98370
Kitsap County (360) 779-5580
KYAN SHAFFNER MA
Massage Therapist
19586 10TH AVE NE, SUITE 100
POULSBO, WA 98370
Kitsap County (360) 697-2122
PENINSULA COMMUNITY HEALTH SERVICES
Clinic/Center (Federally Qualified Health Center (FQHC))
19586 10TH AVE NE
POULSBO, WA 98370
Kitsap County (360) 377-3776
PENINSULA COMMUNITY HEALTH SERVICES
Pharmacy (Community/Retail Pharmacy)
19586 10TH AVE NE
POULSBO, WA 98370
Kitsap County (360) 377-3776
SCOTT SALO DC
Chiropractor
19586 10TH AVE NE, SUITE 100
POULSBO, WA 98370
Kitsap County (360) 697-2122
JON FROYD
Family Medicine
19586 10TH AVE NE
POULSBO, WA 98370
Kitsap County (360) 377-3776

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 Nicholas Drake's NPI number?

The NPI number for Nicholas Drake is 1417349176. It was assigned to this individual provider in the NPPES registry on March 4, 2015.

Where is Nicholas Drake located?

Nicholas Drake practices at 19586 10th Ave NE, Poulsbo, WA 98370. The listed phone number is (517) 410-7430.

What is Nicholas Drake's specialty?

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

Is Nicholas Drake enrolled in Medicare?

Yes. Nicholas Drake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nicholas Drake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Drake reassigns Medicare benefits to Peninsula Community Health Services (Poulsbo, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Drake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Drake accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Nicholas Drake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Drake was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.