Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Nicole Marie Dimond, LCSW, SAC-IT

Individual provider Clinical Social Worker · NPI 1609381706

MS. Nicole Marie Dimond, LCSW, SAC-IT is a Mental Health Counselor in Madison, Wisconsin. Qualified in 2012, 14 years ago. Licensed in Wisconsin.

Years since qualifying
14
Licensed in
WI
In the registry since
2017
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

7633 Ganser Way Ste 204
Madison, WI 53719-2092
Phone: (608) 829-1800
Fax: (608) 829-1885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 8396 (WI)

Record details

NPI number1609381706
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , SAC-IT
Sole proprietorNo
NPI enumeratedDecember 11, 2017
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated

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