Individual provider · Type 1 NPI

Nicole Jolene Proctor, MSW

Clinical Social Worker · San Diego, CA

NPI number 1487263190 Active

Practice location

409 Camino Del Rio S Ste 201
San Diego, CA 92108-3505

Mailing address

2122 S El Camino Real Ste 102
Oceanside, CA 92054-6209

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XLMSW-39660 (ID)
Clinical Social Worker Primary 1041C0700X106055 (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 1487263190

Nicole Jolene Proctor, MSW's National Provider Identifier is 1487263190, issued on Jul 28, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Oct 10, 2023.