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

Nicholas Drake, LICSW

Individual provider Social Worker · NPI 1417349176

Nicholas Drake, LICSW is a Clinical Social Worker in Poulsbo, Washington. Qualified in 2018, 8 years ago. Practices with Peninsula Community Health Services, a 49-clinician group and accepts Medicare assignment. Licensed in Michigan and Washington.

Years since qualifying
8
Licensed in
MI, WA
In the registry since
2015
Specialties on file
3
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

19586 10th Ave NE
Poulsbo, WA 98370-7332
Phone: (517) 410-7430
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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 LW61196656 (WA)
Social Worker Taxonomy 104100000X · Licence LW61196656 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6802088156 (MI)

Record details

NPI number1417349176
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedMarch 4, 2015
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Peninsula Community Health Services — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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