Nichole Lee Amaro, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

116692 Issued in CA

Practice address

2975 Laurel St Apt 10
San Diego, CA 92104-5445

Phone

(503) 927-2643

NPI assigned

Jun 21, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Nichole Amaro Wald Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

University of Michigan Medical School, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nichole Amaro, LCSW

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1104346030
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1225558216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 LAUREL ST APT 10",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921045445",
            "telephone_number": "503-927-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 LAUREL ST APT 10",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921045445",
            "telephone_number": "503-927-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMARO",
        "first_name": "NICHOLE",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "116692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLE",
            "last_name": "WALD",
            "middle_name": "AMARO",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clarence Louis Amaral II, PH. D.
• Linda Ann (Neenah) Amaral, PH.D.
• Margaret Louise Amaral, O.T
• Ira Jardiniano Amargo, FNP
• Bryan Amaro, DNP, PMHNP
• Vanessa Amaro
• Anthony David Amato
• Megan A Amato, MS, MFT
• Michael Perry Amato
• Pooja Amatya

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.