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

Nicole Siegel, LCSW, LCDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1194134528

Nicole Siegel, LCSW, LCDC is a Clinical Social Worker in Southlake, Texas. Qualified in 2012, 14 years ago. Accepts Medicare assignment. Licensed in Texas.

Years since qualifying
14
Licensed in
TX
In the registry since
2014
Specialties on file
2
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

2485 E Southlake Blvd Ste 180
Southlake, TX 76092-6687
Phone: (682) 593-1272
Fax: (817) 488-9697
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 57444 (TX)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 11330 (TX)

Record details

NPI number1194134528
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LCDC
Sole proprietorNo
NPI enumeratedAugust 11, 2014
Last updated in NPPESApril 26, 2017

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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