Organization · Type 2 NPI

Nicole Bennett Therapy, A Licensed Clinical Social Worker Corp.

Clinical Social Worker · San Jose, CA

NPI number 1235081894 Active

Practice location

4030 Moorpark Ave Ste 102
San Jose, CA 95117-1848

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1235081894

Nicole Bennett Therapy, A Licensed Clinical Social Worker Corp.'s National Provider Identifier is 1235081894, issued on Feb 13, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Jose, CA. The record was last updated on Feb 13, 2026.