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Nicole Andersen

Social Worker in McHenry, IL. Individual provider (NPI-1).

NPI number1063385938
StatusActive
Last updated in NPPESSep 26, 2025

Details

NPI
1063385938
Entity type
Individual (NPI-1)
Name
Nicole Andersen
Sex
Female
Sole proprietor
No
Enumeration date
Sep 26, 2025
Certification date
Sep 26, 2025
Last updated
Sep 26, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker–ILYes

Other names

  • Nicole Cook (Former Name)

Practice location

5320 W Elm St
McHenry, IL 60050-4029

Phone 630-917-1543

Mailing address

2489 Ajax St
Crystal Lake, IL 60014-3947

Phone 630-917-1543

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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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