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

Nicole Cockram, LICSW

Individual provider Social Worker · NPI 1922584069

Nicole Cockram, LICSW is a Clinical Social Worker in Owatonna, Minnesota. Qualified in 2016, 10 years ago. Practices with Full Circle Counseling and Wellness, PC, a 6-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
10
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.

See every abbreviation used in this directory →

Practice location Address checks out

1880 Austin Rd
Owatonna, MN 55060-4543
Phone: (507) 202-4158
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 22455 (MN)

Record details

NPI number1922584069
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJuly 12, 2018
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 18, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Full Circle Counseling And Wellness, Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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