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

Nicole Bonin, MSW, LCSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1114701349

Nicole Bonin, MSW, LCSW is a Clinical Social Worker in Manitowoc, Wisconsin. Qualified in 2018, 8 years ago. Practices with Summit Clinical Services LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
8
Licensed in
WI
In the registry since
2023
Specialties on file
3
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

816 Washington St
Manitowoc, WI 54220-4537
Phone: (920) 645-3743
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 11127 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 16606 (WI)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1114701349
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorNo
NPI enumeratedAugust 21, 2023
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024

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 Summit Clinical Services Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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