NICOLE MARIE LIEDTKE LCSW, LCAC
NPI 1740505460
Social Worker - Clinical in Fishers, IN
About Nicole Marie Liedtke Lcsw, Lcac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE MARIE LIEDTKE LCSW, LCAC (NPI 1740505460) is an individual clinical provider in Fishers, Indiana, licensed in Indiana (34005950A) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
Accepted 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 Marie Liedtke Lcsw, Lcac 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nicole Liedtke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fishers, IN 46038
- Reassigned Medicare billing, Indiana enrollment
Muncie, IN 47304
- Reassigned Medicare billing, Indiana enrollment
- 20 clinicians in this Medicare group
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 46038 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FISHERS, IN 46038
FISHERS, IN 46038
FISHERS, IN 46038
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 Liedtke's NPI number?
The NPI number for Nicole Liedtke is 1740505460. It was assigned to this individual provider in the NPPES registry on April 6, 2010. The provider is also known as Nicole Marie Wallace Lcsw, Lcac.
Where is Nicole Liedtke located?
Nicole Liedtke practices at 14074 Trade Center Dr Ste 220, Fishers, IN 46038. The listed phone number is (317) 775-7797.
What is Nicole Liedtke's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Nicole Liedtke enrolled in Medicare?
Yes. Nicole Liedtke 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 organizations bill Medicare for Nicole Liedtke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Liedtke reassigns Medicare benefits to 2 organizations: Restore And Recover Counseling LLC (Fishers, IN) and Tyrow Consulting LLC (Muncie, IN). Each 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 Nicole Liedtke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Liedtke accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Cigna Healthcare and 1 other insurer list Nicole Liedtke 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 Liedtke was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Nicole Marie Liedtke, LCSW, LCAC · NPI 1740505460
Clinical provider in Fishers, Indiana. Individual provider, active in the CMS NPPES registry since April 6, 2010.
## Identity
- **NPI:** 1740505460 (Entity type: Individual)
- **Enumerated:** April 6, 2010
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 34005950A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 14074 TRADE CENTER DR, STE 220, Fishers, IN 46038-4575
- **Phone:** (317) 775-7797
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Restore And Recover Counseling LLC (NPI 1417553793, Fishers, IN); Tyrow Consulting LLC (NPI 1710384839, Muncie, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** December 10, 2020
- **Other identifiers:** Other 000001111107 (IN); Other 34005950A (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1740505460) · Data from the CMS NPPES public registry.