Active NPI
Nicole Saad
- Clinical Social Worker
- Seaside, CA
National Provider Identifier
1265829634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 66560
- Practice address
- 1069 Broadway Ave Ste 200
Seaside, CA 93955-4995 - Phone
- (831) 392-1500
- NPI assigned
- Apr 23, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | 66560 | CA | |
| Social Worker | 104100000X | 66560 | CA | |
| Clinical Social Worker | 1041C0700X | 66560 | CA | Primary |
Addresses
Primary practice location
1069 Broadway Ave Ste 200
Seaside, CA 93955-4995
Mailing address
1069 Broadway Ave Ste 200
Seaside, CA 93955-4995
Phone (831) 392-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265829634 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66560 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicole Saad Hofschneider | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Scotts Valley, CA
- NPI 1548989155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518393600000",
"number": "1265829634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1069 BROADWAY AVE STE 200",
"city": "SEASIDE",
"state": "CA",
"postal_code": "939554995",
"telephone_number": "831-392-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1069 BROADWAY AVE STE 200",
"city": "SEASIDE",
"state": "CA",
"postal_code": "939554995",
"telephone_number": "831-392-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAAD",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-23",
"last_updated": "2018-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "66560",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "66560",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "66560",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1265829634",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seaside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.