Nicole Anne Kirstein, LCSW
Social Worker in Bloomington, IL. Individual provider (NPI-1).
NPI number1033085758
StatusActive
Last updated in NPPESOct 13, 2025
Details
- NPI
- 1033085758
- Entity type
- Individual (NPI-1)
- Name
- Nicole Anne Kirstein
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 13, 2025
- Certification date
- Oct 11, 2025
- Last updated
- Oct 13, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 149.017916 | IL | Yes |
Practice location
2904 Scarborough StBloomington, IL 61705-6543
Phone 630-939-2022
Mailing address
2904 Scarborough StBloomington, IL 61705-6543
Phone 630-939-2022
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 27 Social Worker providers in Bloomington · All 2,449 providers in Bloomington
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