Individual provider · Type 1 NPI

Nicole Young Nichols, M.S.W.

Clinical Social Worker · Santa Monica, CA

NPI number 1518093350 Active

Practice location

1339 20th St
Santa Monica, CA 90404-2033

Call (310) 829-8405 Map

Mailing address

5627 Kanan Rd
Agoura Hills, CA 91301-3358

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XASW17430 (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 1518093350

Nicole Young Nichols, M.S.W.'s National Provider Identifier is 1518093350, issued on Feb 26, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Monica, CA. The record was last updated on Apr 25, 2025.