Nicole Bennett, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4030 Moorpark Ave Ste 102
San Jose, CA 95117-1848

Phone

(408) 359-7999

NPI assigned

Jul 1, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Nicole Bennett Therapy, a Licensed Clinical Social Worker Corp.

  • Clinical Social Worker
  • San Jose, CA
  • NPI 1235081894
  NPD Authorized official

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1780036798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 MOORPARK AVE STE 102",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171848",
            "telephone_number": "408-359-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 MOORPARK AVE STE 102",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171848",
            "telephone_number": "408-359-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Reem Benmalek
• Zineb Benmayouf, MD
• Bennett Medical Services
• Katherine Elisabeth Bennett, CMC
• Michael Alan Bennett, CADC1
• Rachel Benowitz
• Ella Marie Sumaria Benoza, M.D.
• Brian L. Bensing
• Laura Ann Bensinger
• Frederick Paul Benson, M.D.

• Mental Health Counselor in San Jose, CA
• Providers in San Jose, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.