Individual provider · Type 1 NPI
Nicole Danielle Widman, LCSW
Clinical Social Worker · Dana Point, CA
Practice location
34248 Via Santa Rosa
Dana Point, CA 92624-1121
Mailing address
3857 Birch St # 9105
Newport Beach, CA 92660-2616
Other practice locations
- 3857 Birch St # 9105, Newport Beach, CA 92660-2616 · (949) 688-3511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 120505 (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…
Another provider at this address
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About NPI 1972179828
Nicole Danielle Widman, LCSW's National Provider Identifier is 1972179828, issued on Jun 1, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dana Point, CA. The record was last updated on Jul 31, 2026.