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

Individual provider Clinical Social Worker · NPI 1457854721

Nichole R Kottke, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Qualified in 2015, 11 years ago. Practices with Mental Health Counseling Services LLC, a 22-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2018
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

615 1st Ave NE Ste 310
Minneapolis, MN 55413-2419
Phone: (612) 436-0295
Fax: (612) 436-0163
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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 24446 (MN)

Record details

NPI number1457854721
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedMarch 13, 2018
Last updated in NPPESMarch 13, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Mental Health Counseling Services Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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