Nicole Lew
Individual provider Active NPI Clinical Social Worker · Bay Point, CA
NPI 1629384649 · NPPES record last updated Dec 29, 2014
Key facts
- NPI
- 1629384649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 64883 (CA)
- Practice address
- 205 Pacifica Ave
Bay Point, CA 94565-2904 - Phone
- (510) 317-1444
- NPI assigned
- Aug 27, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 64883 | CA | Yes |
Addresses
Primary practice location
205 Pacifica Ave
Bay Point, CA 94565-2904
Mailing address
205 Pacifica Ave
Bay Point, CA 94565-2904
Phone (510) 317-1444
Other providers in Bay Point, CA
- Basma Khairy
- Andrew Kim
- Jeffrey William King
- Winnie Lam
- Fernando Tony Lau
- Than Zaw Lin
- Hong Liu
- Yan Liu
- Ann Marie Maldonado
- Frances W Matthews
All providers in Bay Point, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.