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NICOLE RAE OTHER MEDICINE MSW, LICSW
NPI 1881312940
Social Worker - Clinical in Eagan, MN

Active since August 16, 2022
4354 BRADDOCK TRL, EAGAN, MN 55123(651) 340-5785 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Rae Other Medicine Msw, Licsw NPPES

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

NICOLE RAE OTHER MEDICINE MSW, LICSW (NPI 1881312940) is an individual clinical provider in Eagan, Minnesota, licensed in Minnesota (19286) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1881312940
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE RAE OTHER MEDICINECredential: MSW, LICSW
Location Address4354 BRADDOCK TRLEagan, MN 55123-1980
Mailing Address4354 Braddock TrlEagan, MN 55123-1980 · (651) 340-5785
Phone(651) 340-5785
Sole ProprietorNo
Enumeration DateAugust 16, 2022
NPPES CertifiedAugust 16, 2022
✔ NPI 1881312940 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 · 19286
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.
4354 BRADDOCK TRL, Eagan, MN 55123
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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 Other Medicine's NPI number?

The NPI number for Nicole Other Medicine is 1881312940. It was assigned to this individual provider in the NPPES registry on August 16, 2022.

Where is Nicole Other Medicine located?

Nicole Other Medicine practices at 4354 Braddock Trl, Eagan, MN 55123. The listed phone number is (651) 340-5785.

What is Nicole Other Medicine's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicole Other Medicine was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.