NICOLE WOLTERS
NPI 1457940140
Social Worker - Clinical in Normal, IL

Active since January 16, 2021
1100 BEECH ST, BUILDING 7 SUITE 7, NORMAL, IL 61761(815) 893-9731 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 25, 2022, Jan 16, 2021 (2 updates tracked since 2021).

About Nicole Wolters NPPES

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

NICOLE WOLTERS (NPI 1457940140) is an individual clinical provider in Normal, Illinois and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1457940140
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE WOLTERS
Location Address1100 BEECH ST, BUILDING 7 SUITE 7Normal, IL 61761-4616
Mailing Address1202 Maplewood DrNormal, IL 61761-3937
Sole ProprietorYes
Enumeration DateJanuary 16, 2021
Last NPPES UpdateApril 25, 20222 updates tracked since enumeration
NPPES CertifiedApril 25, 2022
NPI 1457940140 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
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X
1100 BEECH ST, Normal, IL 61761

Other Providers at the Same Location NPPES 12

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

Social Worker (Clinical)
1100 BEECH ST, BLDG 83
NORMAL, IL 61761
Nurse Practitioner (Psychiatric/Mental Health)
1100 BEECH ST, BLDG 8
NORMAL, IL 61761
Counselor (Professional)
1100 BEECH ST, #10 NORMANDY VILLAGE
NORMAL, IL 61761
Counselor (Mental Health)
1100 BEECH ST, BLDG 8
NORMAL, IL 61761
Social Worker (Clinical)
1100 BEECH ST, BUILDING 7
NORMAL, IL 61761
Counselor (Professional)
1100 BEECH ST, BUILDING 7 SUITE 7
NORMAL, IL 61761
Counselor (Mental Health)
1100 BEECH ST, NORMANDY VILLAGE #7
NORMAL, IL 61761
Social Worker (Clinical)
1100 BEECH ST, BLDG. 13 B
NORMAL, IL 61761

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457940140, enumerated as an "individual" on January 16, 2021.

The provider is located at 1100 BEECH ST BUILDING 7 SUITE 7 NORMAL, IL 61761 and the phone number is (815) 893-9731.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.