NICOLE MICHELLE DRAKE LCSW
NPI 1780223073
Social Worker - Clinical in Hartland, WI

Active since January 03, 2020Opted out of Medicare · through Dec 1, 2027
138 NORTH AVE STE 4, HARTLAND, WI 53029(262) 290-3163(262) 910-5478 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2026, Mar 2, 2026, Apr 6, 2022 and 2 more (5 updates tracked since 2020).

About Nicole Michelle Drake Lcsw NPPES

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

NICOLE MICHELLE DRAKE LCSW (NPI 1780223073) is an individual clinical provider in Hartland, Wisconsin, licensed in Wisconsin (9816-123) and active in the NPI registry since January 2020. She has opted out of Medicare through December 1, 2027.

NPPES Registry Identity

NPI1780223073
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE MICHELLE DRAKECredential: LCSW
Location Address138 NORTH AVE STE 4Hartland, WI 53029-1725
Mailing Address138 North Ave Ste 4Hartland, WI 53029-1725 · (262) 290-3163 · Fax (262) 910-5478
Fax(262) 910-5478
Sole ProprietorYes
Enumeration DateJanuary 3, 2020
Last NPPES UpdateMarch 24, 20265 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
NPI 1780223073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in WI · 9816-123 Licensed in WI · 131500
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.
138 NORTH AVE STE 4, Hartland, WI 53029

Other Identifiers 1

Medicaid1780223073WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Nicole Michelle Drake Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 1, 2023 through December 1, 2027.

Opt-Out Effective DateDecember 1, 2023
Opt-Out In Effect ThroughDecember 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Clinic/Center (Medical Specialty)
138 NORTH AVE STE 4
HARTLAND, WI 53029

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 Drake's NPI number?

The NPI number for Nicole Drake is 1780223073. It was assigned to this individual provider in the NPPES registry on January 3, 2020.

Where is Nicole Drake located?

Nicole Drake practices at 138 North Ave Ste 4, Hartland, WI 53029. The listed phone number is (262) 290-3163.

What is Nicole Drake's specialty?

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

Is Nicole Drake enrolled in Medicare?

No. Nicole Drake has opted out of Medicare through December 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Nicole Drake accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Quartz and UnitedHealthcare list Nicole 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 Nicole Drake was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.