NICOLE WOODBURY (LMSW) – Social Worker, NPI 1124635107

NICOLE WOODBURY (LMSW) is a healthcare provider. based in Reed city, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 6801108098 (MI). The NPI Number for NICOLE WOODBURY (LMSW) is 1124635107

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE WOODBURY (LMSW)
NPI
1124635107
Phone
(231) 832-2247
Address
4473 220TH AVE
Enumeration Date
24 September 2020
Last Update Date
18 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2318322247
Graduation Year
2020 (6 years ago)
PAC ID
6507399805
Group Practice PAC ID
4688660533
Professional Enrollment ID
I20241024003803
Address ID
MI496778593RE4473XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,820 CLINICAL SOCIAL WORKER in MI

Provider Addresses for NICOLE WOODBURY (LMSW)

  • 4473 220TH AVE

    REED CITY, MI 496778593

    Phone: (231) 832-2247

    Type: Location

  • 412 15TH ST

    CADILLAC, MI 496018732

    Phone: (231) 942-8184

    Type: Mailing

  • 500 S 3RD AVE

    BIG RAPIDS, MI 493079501

    Phone: (231) 796-5825

    Type: Location

  • 319 N SEARS ST

    REED CITY, MI 496771045

    Phone: (231) 942-8184

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241024003803IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49677)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688660533View full group profile

Reviews

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Frequently asked questions

What is the registry number for NICOLE WOODBURY (LMSW)?
The registry entry for NICOLE WOODBURY (LMSW) shows NPI 1124635107.
Is NICOLE WOODBURY (LMSW) currently accepting referrals based on NPI status?
Registry metadata lists NICOLE WOODBURY (LMSW) as active.
What type of care does NICOLE WOODBURY (LMSW) provide?
NICOLE WOODBURY (LMSW)'s profile centers on Social Worker. Clinical services aligned with this taxonomy classification.
Which community is linked to NICOLE WOODBURY (LMSW)?
NICOLE WOODBURY (LMSW) shows a connection to Reed City, Michigan in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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