Individual provider · Type 1 NPI

Nicole Lynn Ichull-Ingya, RADT

Clinical Social Worker · San Diego, CA

NPI number 1982210092 Active

Practice location

2865 Logan Ave
San Diego, CA 92113-2411

Call (619) 232-4357 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X121090 (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 1982210092

Nicole Lynn Ichull-Ingya, RADT's National Provider Identifier is 1982210092, issued on Sep 23, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Nov 9, 2025.