Nicole Bennett Therapy, a Licensed Clinical Social Worker Corp.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NICOLE BENNETT THERAPY, A LICENSED CLINICAL SOCIAL WORKER CORP.

Practice address

4030 Moorpark Ave Ste 102
San Jose, CA 95117-1848

Phone

(408) 359-7999

NPI assigned

Feb 13, 2026

Organization subpart

No

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

Authorized official

Name

Nicole BennettNPI 1780036798

Title

Owner

Phone

(408) 359-7999

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Bennett, LCSW

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1780036798
  NPD Authorized official

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

{
    "created_epoch": "1770940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1235081894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 MOORPARK AVE STE 102",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171848",
            "telephone_number": "408-359-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 MOORPARK AVE STE 102",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171848",
            "telephone_number": "408-359-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE BENNETT THERAPY, A LICENSED CLINICAL SOCIAL WORKER CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-13",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-359-7999"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Nicholas, CADC II
• Aniyah Nachelle Nichols
• Felicita Magdalena Nichols
• Helen L Nichols, LMFT
• Bruce Charles Nickles, MFT
• Nicole Hong Phuong T. Thai , M.D., Inc (Nicole Thai M.D., Inc.)
• Jennifer Lee Nicolet, MSW, MED, LCSW
• Nimisha Nidgundi, D.D.S
• Wenying Nie, L.AC
• Mariusz Niedzwiecki

• Clinical Social Worker in San Jose, CA
• Providers in San Jose, 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 Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.