Individual
NICOLE MICHELLE DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
138 NORTH AVE STE 4, HARTLAND, WI 53029-1725
(262) 290-3163
(262) 910-5478
Mailing address
138 NORTH AVE STE 4, HARTLAND, WI 53029-1725
(262) 290-3163
(262) 910-5478
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
131500
WI
1041C0700X
Clinical Social Worker
Primary
9816-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780223073
—
WI
Enumeration date
01/03/2020
Last updated
03/24/2026
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