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

Individual provider Clinical Social Worker · NPI 1235434200

Nicole Lee Baschleben, LCSW is a Clinical Social Worker in Cottage Grove, Oregon. Qualified in 2017, 9 years ago. Practices with South Lane Mental Health Services, Inc, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
9
Licensed in
OR
In the registry since
2011
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

37 N 6th St
Cottage Grove, OR 97424-2012
Phone: (541) 623-6053
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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 L11301 (OR)

Record details

NPI number1235434200
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 21, 2011
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice South Lane Mental Health Services, Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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