Individual provider · Type 1 NPI

Nicole Marie Vandehurst, MA

Social Worker · South Lake Tahoe, CA

NPI number 1316578701 Active

Practice location

1900 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-6305

Call (530) 573-7956 Map

Mailing address

2795 Springwood Dr
South Lake Tahoe, CA 96150-2815

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Social Worker Primary 104100000XNone listed

Social Worker: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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About NPI 1316578701

Nicole Marie Vandehurst, MA's National Provider Identifier is 1316578701, issued on Feb 4, 2020. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Feb 23, 2026.