IndividualActive
Nicole Ehrenstrom, MSW
NPI 1912656968 · Clinical Social Worker · Waterloo, IL
Nicole Ehrenstrom, MSW is a Clinical Social Worker provider in Waterloo, IL (NPI 1912656968).
Provider details
- NPI number
- 1912656968
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- No
- License
- 2014029681 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 Ed Gardner Pl
Waterloo, IL 62298-1677
Phone: (618) 939-3060
Approximate (ZIP-level) locationGet directions
Mailing address
1 Ed Gardner Pl
Waterloo, IL 62298-1677
Registry dates
- Enumerated
- 2022-03-18
- Last updated
- 2022-03-18
- Certified
- 2022-03-18
Frequently asked questions
- What is Nicole Ehrenstrom's NPI number?
- Nicole Ehrenstrom's National Provider Identifier (NPI) is 1912656968, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Ehrenstrom's specialty?
- Nicole Ehrenstrom is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Nicole Ehrenstrom located?
- Nicole Ehrenstrom's practice location on file with NPPES is 1 Ed Gardner Pl, Waterloo, IL 62298-1677.
- What is Nicole Ehrenstrom's phone number?
- The practice phone number listed in the NPPES registry for Nicole Ehrenstrom is (618) 939-3060.
- Is Nicole Ehrenstrom's NPI active?
- Yes — Nicole Ehrenstrom's NPI (1912656968) is active in the NPPES registry as of the last update on 2022-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.