NICOLE STAPLES
NPI 1942920624
Social Worker - School in Crystal Lake, IL

Active since September 01, 2022
6000 DVORAK DR, CRYSTAL LAKE, IL 60012(815) 479-0404 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Staples NPPES

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

NICOLE STAPLES (NPI 1942920624) is an individual school provider in Crystal Lake, Illinois, licensed in Illinois (150104957) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1942920624
Entity TypeIndividualFemale
Primary Taxonomy1041S0200X
Provider Legal NameNICOLE STAPLES
Location Address6000 DVORAK DRCrystal Lake, IL 60012-3514
Mailing Address609 N John StMchenry, IL 60050-5748
Sole ProprietorYes
Enumeration DateSeptember 1, 2022
NPPES CertifiedSeptember 1, 2022
NPI 1942920624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers
Taxonomy Code1041S0200X
License Licensed in IL · 150104957
6000 DVORAK DR, Crystal Lake, IL 60012

Other Providers at the Same Location NPPES

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

Psychologist (School)
6000 DVORAK DR
CRYSTAL LAKE, IL 60012

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 Staples's NPI number?

The NPI number for Nicole Staples is 1942920624. It was assigned to this individual provider in the NPPES registry on September 1, 2022.

Where is Nicole Staples located?

Nicole Staples practices at 6000 Dvorak Dr, Crystal Lake, IL 60012. The listed phone number is (815) 479-0404.

What is Nicole Staples's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

When was this NPI record last updated?

The NPPES record for Nicole Staples was last updated on September 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.