Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Nicole Gauthier, LCSW

Individual provider Clinical Social Worker · NPI 1790546653

Mrs. Nicole Gauthier, LCSW is a Clinical Social Worker in South Bend, Indiana. Graduated from Tulane University School of Medicine in 1996, 30 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
30
Trained at
Tulane University School of Medicine
Licensed in
IN
In the registry since
2024
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1815 E Ireland Rd
South Bend, IN 46614-2845
Phone: (574) 647-1700
Fax: (574) 647-7572
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 615 N Michigan St, South Bend, IN 46601-1033 — (574) 647-1000
  • 2709 Twixwood Ln, South Bend, IN 46614-2471 — (269) 501-2779

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34008723A (IN)

Record details

NPI number1790546653
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 18, 2024
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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