Individual provider Active NPI

Nicole Pullen, ASW

  • Clinical Social Worker
  • Newport Beach, CA
National Provider Identifier
1346029816
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
125733 Issued in CA
Practice address
5000 Birch St Ste 3000
Newport Beach, CA 92660-2140
Phone
(877) 421-1711
Fax
(949) 576-3913
NPI assigned
Sep 25, 2023
Last updated
Jul 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 125733 CA
Clinical Social Worker 1041C0700X 125733 CA Primary

Addresses

Primary practice location

5000 Birch St Ste 3000
Newport Beach, CA 92660-2140

Mailing address

28270 Adrienne St
Murrieta, CA 92563-7405
Phone (951) 239-8558

Other practice location 1

765 N Main St # 131-C4
Corona, CA 92878-1440
Phone (877) 421-1711

Other practice location 2

30211 Avenida De Las Bandera Ste 200
Rancho Santa Margarita, CA 92688-2159
Phone (877) 421-1711

Other practice location 3

180 E Main St Ste 203
Tustin, CA 92780-4414
Phone (877) 421-1711

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

LicenseStateTypeSpecialty
125733CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Olive Crest PastSince Oct 1, 2023 Accepting new patients
Arthur Montes, Licensed Clinical Social Worker, Inc. Mental Health Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1346029816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28270 ADRIENNE ST",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925637405",
            "telephone_number": "951-239-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BIRCH ST STE 3000",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602140",
            "telephone_number": "877-421-1711",
            "fax_number": "949-576-3913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "765 N Main St # 131-C4",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928781440",
            "country_code": "US",
            "telephone_number": "877-421-1711",
            "fax_number": "949-576-3913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30211 Avenida De Las Bandera Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rancho Santa Margarita",
            "state": "CA",
            "postal_code": "926882159",
            "country_code": "US",
            "telephone_number": "877-421-1711",
            "fax_number": "949-576-3913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 E Main St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927804414",
            "country_code": "US",
            "telephone_number": "877-421-1711",
            "fax_number": "949-576-3913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PULLEN",
        "first_name": "NICOLE",
        "credential": "ASW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "125733",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "125733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.