Nicole Dufek is a Clinical Social Worker practicing in Green Bay, Wisconsin. The National Provider Identifier (NPI) is #1215659594, which was assigned on September 14, 2022, and the registration record was last updated on March 12, 2025. The practitioner's main practice location is at 3150 Gershwin Dr, Green Bay, WI 54311-4328; the contact telephone number is 2039147009. The primary taxonomy of Nicole Dufek is Clinical Social Worker (1041C0700X), with specialization in Clinical. Nicole Dufek is licensed to practice in the state of Wisconsin (#11989-123).
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
| NPI | 1215659594 |
| Entity Type | Individual |
| Provider Name | NICOLE DUFEK |
| Gender | Female |
| Credential | LCSW |
| Practice Address |
3150 Gershwin Dr Green Bay WI 54311-4328 |
| Practice Telephone | 2039147009 |
| Mailing Address |
E7475 Rawhide Rd New London WI 54961-9025 |
| Certification Date | 2025-03-12 |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2025-03-12 |
| Is Sole Proprietor | N |
| PAC ID |
0648700815 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | NICOLE DUFEK |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Address |
3150 Gershwin Dr Green Bay WI 54311-4328 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 104100000X | Social Worker | ||||
| Y | 1041C0700X | Social Worker | Clinical | 11989-123 | WI |
| Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| Classification | Social Worker |
| Specialization | Clinical |
| Grouping | Behavioral Health & Social Service Providers |
| Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| Code | 104100000X |
| Taxonomy | Social Worker |
| Classification | Social Worker |
| Grouping | Behavioral Health & Social Service Providers |
| Definition: 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. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
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|---|---|---|---|
| Ciara Vandyke | 345 Lincoln Ave Apt 4, Orange, NJ 07050-2357 | Clinical Social Worker | 2025-11-08 |
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| Mindful Mattering PLLC | 1050 W George St Apt 309, Chicago, IL 60657-4374 | Clinical Social Worker | 2025-11-08 |
| Lindsay Mccarter, Lisw-Cp, LLC | 157 Hall St, Spartanburg, SC 29302-1523 | Clinical Social Worker | 2025-11-08 |
| Relevant Steps | 201 Ne Park Plaza Dr Ste 200, Vancouver, WA 98684-5871 | Clinical Social Worker | 2025-11-08 |
| Sean Alexander Dowling | 92 Main St, Pittston, PA 18640-3119 | Clinical Social Worker | 2025-11-08 |
| Nati Francisco Macias | 4921 Inglewood Blvd, Culver City, CA 90230-5954 | Clinical Social Worker | 2025-11-07 |
| Willow Treatment and Recovery Center, LLC | 3919 Madison Ave Ste 100, Indianapolis, IN 46227-1383 | Clinical Social Worker | 2025-11-07 |
| Keesha Pesce | 85 Camp Ave Apt 11c, Stamford, CT 06907-1840 | Clinical Social Worker | 2025-11-08 |
| Grace Phyllis Livermore | 3033 Excelsior Blvd Ste 10, Minneapolis, MN 55416-5147 | Clinical Social Worker | 2025-11-08 |
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| Street Address |
3150 GERSHWIN DR |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-4328 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Lisa J Cavil | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | Professional Counselor | 2014-08-12 |
| Logan Wilz | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | Clinical Psychologist | 2023-09-25 |
| County of Brown | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | Community/Behavioral Health Agency | 2006-11-06 |
| Yogesh C Pareek | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | Psychiatry Physician | 2007-04-16 |
| County of Brown | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | Case Management Agency | 2025-07-15 |
| Koti R Mannem | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | Psychiatry Physician | 2006-09-22 |
| Kristin A. Anderson-Cronin | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | Registered Nurse | 2011-03-28 |
| Tyler G Luedke | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | Addiction (Substance Use Disorder) Counselor | 2013-04-08 |
| Helga Aquino Meyer · Helga Aquino Perpetuo | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | Clinical Social Worker | 2023-08-16 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kelsey Rose Esser · Kelsey Janssen | 2605 Development Dr, Green Bay, WI 54311-4240 | Physician Assistant | 2024-05-30 |
| Amritha Chandrahasa Karkera | 2845 Greenbrier Rd, Green Bay, WI 54311 | Hematology & Oncology Physician | 2010-07-21 |
| Sandra Lee Yang | 1976 Lime Kiln Rd, Green Bay, WI 54311-4417 | Family Nurse Practitioner | 2022-02-06 |
| Gabrielle Arline Rutherford | 2581 Development Dr, Green Bay, WI 54311-4247 | Registered Nurse | 2025-03-10 |
| Semyon Zarkhin | 2617 Development Dr, Green Bay, WI 54311-4240 | Dermatology Physician | 2007-07-23 |
| Lori Ann Keisic Hummel · Lori Ann Keisic Grillo | 1160 Kepler Dr, Green Bay, WI 54311 | Physical Therapist | 2012-04-23 |
| Sara Jane Weber | 2830 Curry Ct Ste 1, Green Bay, WI 54311-4877 | Dentist | 2014-06-24 |
| Peter E. Mcmahon · Pete E. Mcmahon | 2223 Lime Kiln Rd, Green Bay, WI 54311 | Physical Therapist | 2006-07-27 |
| Brittany Shoemaker | 2633 Development Dr Ste 40, Green Bay, WI 54311-4239 | Dental Hygienist | 2025-09-29 |
| Jennifer Ann Russell | 2851 University Ave, Green Bay, WI 54311 | Student in an Organized Health Care Education/Training Program | 2017-09-27 |
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|---|---|---|---|
| Nicole Lynn Varley · Nicole Szczesny | 363 Vanadium Rd Ste 105, Pittsburgh, PA 15243-1477 | Professional Counselor | 2012-12-03 |
| Nicole Sheree Haaheo Vierra · Nicole S H Furtado | 459 Patterson Rd, Honolulu, HI 96819-1522 | Registered Nurse | 2025-06-06 |
| Nicole Anna Louis-Jean · Nicole Butuzov | 36 Essex Rd Ste 1, Ipswich, MA 01938-2609 | Family Medicine Physician | 2018-04-05 |
| Leanne Nicole Franklin · Leann Nicole Garrels | 2111 Sw 20th Pl, Ocala, FL 34471-7734 | Family Nurse Practitioner | 2025-07-25 |
| Daniel Dufek | 1440 Duckwood Dr Ste 500, Eagan, MN 55122-1399 | Peer Specialist | 2025-06-19 |
| Nicole Alexandra Tarricone · Nicole Leiter | 820 S Latah St Ste 110, Boise, ID 83705-2239 | Mental Health Counselor | 2023-06-07 |
| Nicole Halley Richey · Nicole Marie Anderson | 501 N East St, Indianapolis, IN 46204-1632 | Nurse Practitioner | 2008-06-02 |
| Nicole Marie Diroberto · Nicole M Dolan | 655 Main St S, Southbury, CT 06488-4220 | Physical Therapist | 2018-12-06 |
| Nicole Marie Blair · Nicole Hans | 113 Lielmanis Ave, Hurlburt Field, FL 32544-5613 | Family Medicine Physician | 2010-03-08 |
| Nicole Anissa Kujawa · Nicole A Claus Pino | 17100 W North Ave, Suite 200, Brookfield, WI 53005 | Physician Assistant | 2006-09-13 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |