Organization Active NPI

Nicholas Egger Licensed Clinical Social Worker Inc.

  • Clinical Social Worker
  • Morgan Hill, CA
National Provider Identifier
1346715646
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NICHOLAS EGGER LICENSED CLINICAL SOCIAL WORKER INC.
Practice address
17760 Monterey St Ste A5
Morgan Hill, CA 95037
Phone
(209) 342-7309
NPI assigned
Oct 12, 2018
Last updated
May 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Nicholas Broughton Egger, LCSWNPI 1952691685
Title
Owner
Phone
(209) 342-7309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

17760 Monterey St Ste A5
Morgan Hill, CA 95037

Mailing address

PO Box 2593
Morgan Hill, CA 95038-2593
Phone (209) 342-7309

Other practice location 1

45 N 1st St Ste D
Campbell, CA 95008-2033
Phone (209) 342-7309

National Provider Directory

National Provider Directory

Locations

45 N 1st St
Ste D
Campbell, CA 95008
Phone (209) 342-7309

17760 Monterey St
Ste A5
Morgan Hill, CA 95037
Phone (209) 342-7309

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1346715646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2593",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950382593",
            "telephone_number": "209-342-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17760 MONTEREY ST STE A5",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "95037",
            "telephone_number": "209-342-7309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 N 1st St Ste D",
            "address_purpose": "LOCATION",
            "city": "Campbell",
            "state": "CA",
            "postal_code": "950082033",
            "country_code": "US",
            "telephone_number": "209-342-7309",
            "fax_number": "669-201-1284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NICHOLAS EGGER LICENSED CLINICAL SOCIAL WORKER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-12",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "EGGER",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "BROUGHTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-342-7309",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.