NICHOLAS DAVID TOLLIVER MSW, LICSW
NPI 1811567373
Social Worker - Clinical in Minneapolis, MN

Active since June 28, 2021PECOS EnrolledAccepts Medicare Assignment
4027 COUNTY ROAD 25, MINNEAPOLIS, MN 55416(612) 925-6033(612) 925-8496 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 21, 2025, Jun 28, 2021 (2 updates tracked since 2021).

About Nicholas David Tolliver Msw, Licsw NPPES

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

NICHOLAS DAVID TOLLIVER MSW, LICSW (NPI 1811567373) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (30972) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1811567373
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameNICHOLAS DAVID TOLLIVERCredential: MSW, LICSW
Location Address4027 COUNTY ROAD 25Minneapolis, MN 55416-2629
Mailing Address4240 Park Glen RdSt Louis Park, MN 55416-5427 · (612) 925-6033 · Fax (612) 925-8496
Fax(612) 925-8496
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 28, 2021
Last NPPES UpdateMay 21, 20252 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
NPI 1811567373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MN · 30972
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.

4027 COUNTY ROAD 25, Minneapolis, MN 55416

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicholas David Tolliver Msw, 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 ID9537670575
PECOS Enrollment IDI20250617000217
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 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 $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 20

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

Psychiatry & Neurology (Psychiatry)
4027 COUNTY ROAD 25
ST LOUIS PARK, MN 55416
Psychiatry & Neurology (Psychiatry)
4027 COUNTY ROAD 25
ST LOUIS PARK, MN 55416
Clinic/Center (Mental Health (Including Community Mental Health Center))
4027 COUNTY ROAD 25
ST LOUIS PARK, MN 55416
Social Worker (Clinical)
4027 COUNTY ROAD 25
ST LOUIS PARK, MN 55416
Marriage & Family Therapist
4027 COUNTY ROAD 25
ST LOUIS PARK, MN 55416
Social Worker (Clinical)
4027 COUNTY ROAD 25
ST LOUIS PARK, MN 55416
Social Worker (Clinical)
4027 COUNTY ROAD 25
ST LOUIS PARK, MN 55416
Marriage & Family Therapist
4027 COUNTY ROAD 25
ST LOUIS PARK, MN 55416

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 Tolliver's NPI number?

The NPI number for Nicholas Tolliver is 1811567373. It was assigned to this individual provider in the NPPES registry on June 28, 2021.

Where is Nicholas Tolliver located?

Nicholas Tolliver practices at 4027 County Road 25, Minneapolis, MN 55416. The listed phone number is (612) 925-6033.

What is Nicholas Tolliver's specialty?

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

Is Nicholas Tolliver enrolled in Medicare?

Yes. Nicholas Tolliver 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.

What insurance does Nicholas Tolliver accept?

Health plans from HealthPartners list Nicholas Tolliver 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 Tolliver was last updated on May 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.