Individual provider · Type 1 NPI

Nicole Rae Lippert Avshalomov, LCSW

Clinical Social Worker · Oakland, CA

NPI number 1922555663 Active

Practice location

3800 Coolidge Ave
Oakland, CA 94602-3399

Call (510) 482-2244 Map

Mailing address

1197 Ocean Ave
Oakland, CA 94608-1147

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1922555663

Nicole Rae Lippert Avshalomov, LCSW's National Provider Identifier is 1922555663, issued on Sep 9, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oakland, CA. The record was last updated on Aug 26, 2026.