Individual provider · Type 1 NPI

Nicole Moose, LCSW

Clinical Social Worker · Vista, CA

NPI number 1295440428 Active

Practice location

2428 Catalina Ave
Vista, CA 92084-4810

Mailing address

1690 Elevado Rd
Vista, CA 92084-2801

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X98168 (CA)

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 1295440428

Nicole Moose, LCSW's National Provider Identifier is 1295440428, issued on Jan 23, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vista, CA. The record was last updated on Jan 23, 2023.