Individual provider · Type 1 NPI

Nicole Lara

Clinical Social Worker · Santa Ana, CA

NPI number 1801551882 Active

Practice location

1901 E Dyer Rd Unit 425
Santa Ana, CA 92705-5789

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	135574 (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 1801551882

Nicole Lara's National Provider Identifier is 1801551882, issued on Nov 3, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Ana, CA. The record was last updated on Jan 2, 2026.