Nicholas Tock, LCSW
NPI 1558896506ActiveIndividual· Social Worker, Clinical· Boise, ID
Social Worker, Clinical (LCSW) with Telebehavioral Health US, practicing in Boise, Idaho. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1558896506 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Apr 27, 2017 |
| Last updated in NPPES | Sep 10, 2026 |
| Certified by provider | Sep 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | LCSW-40831 | ID |
| Social Worker, Clinical | 1041C0700X | 6801117495 | MI |
| Social Worker, Clinical | 1041C0700X | CSW.09928268 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (ID) |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Telebehavioral Health USBoulder, CO · 8 clinicians
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