Organization Active NPI

Liz Nickole Therapy, a Licensed Clinical Social Worker Professional Corporation

  • Clinical Social Worker
  • San Jose, CA
National Provider Identifier
1467331744
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIZ NICKOLE THERAPY, A LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORATION
Practice address
4750 Almaden Expy Ste 124-335
San Jose, CA 95118-2052
Phone
(408) 766-2940
NPI assigned
Aug 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Authorized official

Name
Ms. Elizabeth Baumeister, LCSWNPI 1023368990
Title
President
Phone
(408) 766-2940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4750 Almaden Expy Ste 124-335
San Jose, CA 95118-2052

Mailing address

4750 Almaden Expy Ste 124-335
San Jose, CA 95118-2052
Phone (408) 766-2940

Other names 1

  • Liz Nickole Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

4750 Almaden Expy
Ste 124335
San Jose, CA 95118
Phone (408) 766-2940

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1467331744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 ALMADEN EXPY STE 124-335",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951182052",
            "telephone_number": "408-766-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 ALMADEN EXPY STE 124-335",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951182052",
            "telephone_number": "408-766-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIZ NICKOLE THERAPY, A LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "BAUMEISTER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-766-2940",
        "authorized_official_name_prefix": "Ms.",
        "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": [
        {
            "organization_name": "Liz Nickole Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.