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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NICOLE L CARLISLE
NPI 1689597593
Social Worker in Clinton Township, MI

Active since July 30, 2026PECOS Enrolled
15600 19 MILE RD, CLINTON TOWNSHIP, MI 48038(586) 263-8700 Get Directions Write a Review

NPPES record added: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 18, 2026, Jul 30, 2026 (2 updates tracked since 2026).

About Nicole L Carlisle NPPES

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

NICOLE L CARLISLE (NPI 1689597593) is an individual social worker in Clinton Township, Michigan, licensed in Michigan (6801114112) and active in the NPI registry since July 2026. The provider is enrolled in Medicare PECOS, maintains a secondary practice location in Ann Arbor, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1689597593
Entity TypeIndividual
Primary Taxonomy104100000X
Provider Legal NameNICOLE L CARLISLE
Location Address15600 19 MILE RDClinton Township, MI 48038-3502
Mailing Address15600 19 Mile RdClinton Township, MI 48038-3502 · (586) 596-1469
Phone(586) 263-8700
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 30, 2026
Last NPPES UpdateAugust 18, 20262 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1689597593 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 MI · 6801114112
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.
15600 19 MILE RD, Clinton Township, MI 48038
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Secondary Practice Location 1

Location 1455 E Eisenhower Pkwy Ste 300Ann Arbor, MI 48108-3324 · Phone (646) 941-7645

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole L Carlisle is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668932773
PECOS Enrollment IDI20260908002779
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.

Other Providers at the Same Location NPPES 20

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

LORENE NICHOLE LAURENCE LLPC
Counselor (Professional)
15600 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 872-0631
ANDREA D BURKS
Case Manager/Care Coordinator
15600 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-8700
DANIELLE MARIE WOODSIDE
Case Manager/Care Coordinator
15600 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-8700
TRACEY BERNARDINE HURSEY
Social Worker
15600 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 263-8700
IRINE-VALERIA NEBA
Case Manager/Care Coordinator
15600 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-8700
KELLIE LORRAINE HORVATH MA
Case Manager/Care Coordinator
15600 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-8700
LASHANTE CARTER-PARKER
Case Manager/Care Coordinator
15600 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 501-3070
KIMBERLY E BUCKLEY RN
Registered Nurse (Administrator)
15600 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 263-8688

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 Carlisle's NPI number?

The NPI number for Nicole Carlisle is 1689597593. It was assigned to this individual provider in the NPPES registry on July 30, 2026.

Where is Nicole Carlisle located?

Nicole Carlisle practices at 15600 19 Mile Rd, Clinton Township, MI 48038. The listed phone number is (586) 263-8700.

What is Nicole Carlisle's specialty?

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

Is Nicole Carlisle enrolled in Medicare?

Yes. Nicole Carlisle is registered in the Medicare PECOS enrollment system.

What insurance does Nicole Carlisle accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Nicole Carlisle 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 Nicole Carlisle was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.