Provider Demographics
NPI:1306574124
Name:DRAKE, NIKKITA G (LCSW)
Entity type:Individual
Prefix:
First Name:NIKKITA
Middle Name:G
Last Name:DRAKE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:193 MAIN ST STE 14
Mailing Address - Street 2:
Mailing Address - City:NORWAY
Mailing Address - State:ME
Mailing Address - Zip Code:04268-5647
Mailing Address - Country:US
Mailing Address - Phone:844-292-0111
Mailing Address - Fax:207-396-7407
Practice Address - Street 1:193 MAIN ST STE 14
Practice Address - Street 2:
Practice Address - City:NORWAY
Practice Address - State:ME
Practice Address - Zip Code:04268-5647
Practice Address - Country:US
Practice Address - Phone:844-292-0111
Practice Address - Fax:207-396-7407
Is Sole Proprietor?:No
Enumeration Date:2022-08-10
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC238011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical