Provider Type Icon

NICOLE LEE HARRIMAN LICSW NPI 1457693459


NPI Information

NPI: 1457693459
Provider Name: NICOLE LEE HARRIMAN, LICSW
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
4884 MILLER TRUNK HWY STE 100
HERMANTOWN, MN
ZIP 55811
Phone: (218) 812-3600
Get Directions

Nicole Lee Harriman, LICSW is a social worker in Hermantown, MN. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Nicole Lee Harriman, LICSW NPI is 1457693459. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4884 MILLER TRUNK HWY STE 100
HERMANTOWN, MN
ZIP 55811-836
Phone: (218) 812-3600
Fax: (218) 309-0198

The enumeration date for this NPI number is 3/18/2013 and was last updated on 4/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial Worker21375MINNESOTAYes
21041C0700XSocial WorkerClinical21375MINNESOTANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11457693459OTHERMINNESOTAUBH-MEDICA
21457693459MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.