Individual provider · Type 1 NPI

Nicole Goodwin, SOCIAL WORKER

Licensed Psychiatric Technician · San Luis Obispo, CA

NPI number 1902964398 Active

Practice location

784 High St
San Luis Obispo, CA 93401-5243

Call (805) 540-6500 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000XPT31294 (CA)
Day Training/Habilitation Specialist 373H00000XNone listed

Licensed Psychiatric Technician: An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental dis…

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About NPI 1902964398

Nicole Goodwin, SOCIAL WORKER's National Provider Identifier is 1902964398, issued on Dec 5, 2006. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Oct 21, 2025.