NICHOLE IRENE BRESINA (LCSW) – Clinical Social Worker, NPI 1386473791

NICHOLE IRENE BRESINA (LCSW) is a healthcare provider. based in Rochester, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 11773 (WI). The NPI Number for NICHOLE IRENE BRESINA (LCSW) is 1386473791

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLE IRENE BRESINA (LCSW)
NPI
1386473791
Phone
(715) 838-5222
Address
200 1ST ST SW
Enumeration Date
1 August 2024
Last Update Date
15 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7632109966
Graduation Year
2021 (5 years ago)
PAC ID
8820529167
Group Practice PAC ID
3678711900
Professional Enrollment ID
I20240927000502
Address ID
WI540161681HU901XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,447 CLINICAL SOCIAL WORKER in WI

Provider Addresses for NICHOLE IRENE BRESINA (LCSW)

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone: (715) 838-5222

    Type: Mailing

  • 1400 BELLINGER ST

    EAU CLAIRE, WI 547035222

    Phone: (715) 464-4128

    Type: Location

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: 2024-09-27

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
I20240927000502IClinical Social WorkerWITBD

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 55905)

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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: 3678711900View full group profile
NameSpecialtyState
-KS
Marriage And Family TherapistNH
Clinical Social WorkerMN
Mental Health CounselorMN
Mental Health CounselorWI
Clinical PsychologistWI
Clinical Social WorkerWI
Clinical Social WorkerWI
Mental Health CounselorMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

Can I verify NICHOLE IRENE BRESINA (LCSW) with an NPI only?
You can start verification with NPI 1386473791 for NICHOLE IRENE BRESINA (LCSW), then check state licensing separately.
Is NICHOLE IRENE BRESINA (LCSW) listed as active for patients and plans?
The listing shows NICHOLE IRENE BRESINA (LCSW) as active in the NPI system.
What is NICHOLE IRENE BRESINA (LCSW)'s primary classification?
Clinical Social Worker is the headline specialty for NICHOLE IRENE BRESINA (LCSW) here. Clinical services aligned with this taxonomy classification.
What address line appears for NICHOLE IRENE BRESINA (LCSW)?
NICHOLE IRENE BRESINA (LCSW)'s geographic hint is Rochester, Minnesota in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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