Nicole Marie Liedtke is a Fishers, Indiana based counselor with 19 years of experience in Addiction (Substance Use Disorder) Counselor. She completed her graduation from Other in 2006. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Nicole Marie Liedtke is 34005950A for Social Worker in Indiana. Her current practice location is 14074 Trade Center Dr, Ste 220, Fishers. Patients can book an appointment with her at 317-775-7797.
Nicole Marie Liedtke is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. She helps her clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Nicole Marie Liedtke speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Nicole Marie Liedtke
Specialization:
Addiction (Substance Use Disorder) Counselor
Gender:
Female
Credentials:
LCSW, LCAC
Experience:
19+ years
Medical School Attended:
Other
Graduation Year:
2006
Accepts Medicare Assignment:
Yes
Practice Address:
14074 Trade Center Dr, Ste 220, Fishers, Indiana, 46038-4575
Phone:
317-775-7797
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2163691817
Enrollment ID:
I20110815000120
NPI Number:
1740505460
NPI Enumeration Date:
06 Apr, 2010
NPI Last Update On:
10 Dec, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole Marie Liedtke are as mentioned below.
License Number
Specialization
State
Status
34005950A
Social Worker
Indiana
Primary
87001005A
Addiction (Substance Use Disorder) Counselor
Indiana
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Nicole Marie Liedtke such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000001111107
Other
Indiana
ANTHEM BLUE CROSS BLUE SHIELD
34005950A
Other
Indiana
LCSW
Medicare Quality Reporting:
Medicare Quality Reporting consists of various programs like PQRS, EHR, MHI etc.
PQRS
She does not participate in the Physician Quality Reporting System Incentive Program.
EHR
She does not participate in the Electronic Health Record Incentive Program.
MHI
She does not participate in the Million Hearts Initiative Program.
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3645 N Briarwood Ln, Ste A Muncie, Indiana
Zip:
47304-5337
Phone Number:
765-289-5520
Fax Number:
765-289-5840
Patients can reach Nicole Marie Liedtke at 14074 Trade Center Dr, Ste 220, Fishers, Indiana or can call to book an appointment on 317-775-7797. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.