Individual provider Active NPI

Nicole Lynn Partnoff, LCSW

  • Social Worker
  • Fresno, CA
National Provider Identifier
1619434560
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
126456 Issued in CA
Practice address
1625 E Shaw Ave Ste 133
Fresno, CA 93710-8113
Phone
(559) 202-3423
NPI assigned
Feb 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 126456 CA Primary

Addresses

Primary practice location

1625 E Shaw Ave Ste 133
Fresno, CA 93710-8113

Mailing address

1625 E Shaw Ave Ste 133
Fresno, CA 93710-8113
Phone (559) 202-3423

Other practice location 1

4721 W Jennifer Ave Ste 10&15
Fresno, CA 93722-6498
Phone (559) 903-8270

Other practice location 2

3451 W Shaw Ave Ste 101
Fresno, CA 93711
Phone (559) 903-8270

Other practice location 3

2002 N Fine Ave Ste 101
Fresno, CA 93727-1511
Phone (559) 457-6975

Other practice location 4

4910 E Ashlan Ave Ste 118
Fresno, CA 93726-3021
Phone (559) 256-7678

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
126456CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Omid Counseling Center, Inc. PastSince Apr 3, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1619434560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 E SHAW AVE STE 133",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108113",
            "telephone_number": "559-202-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 E SHAW AVE STE 133",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108113",
            "telephone_number": "559-202-3423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4721 W Jennifer Ave Ste 10&15",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937226498",
            "country_code": "US",
            "telephone_number": "559-903-8270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3451 W Shaw Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93711",
            "country_code": "US",
            "telephone_number": "559-903-8270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2002 N Fine Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937271511",
            "country_code": "US",
            "telephone_number": "559-457-6975",
            "fax_number": "559-457-5896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4910 E Ashlan Ave Ste 118",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937263021",
            "country_code": "US",
            "telephone_number": "559-256-7678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARTNOFF",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "126456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.