Individual provider Active NPI

Jodie Nicholson

  • Clinical Social Worker
  • Salinas, CA
National Provider Identifier
1821269499
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
92066 Issued in CA
Practice address
902 Monterey Salinas Highway
Salinas, CA 93908
Phone
(831) 293-4492
NPI assigned
Mar 21, 2008
Last updated
Apr 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 92066 CA Primary

Addresses

Primary practice location

902 Monterey Salinas Highway
Salinas, CA 93908

Mailing address

PO Box 423
Pacific Grove, CA 93950-0423
Phone (831) 241-8955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201016001710 CA Practitioner - Clinical Social Worker 7810317633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope ServicesGroup PAC ID 5597716233, 29 clinicians

Practice addresses (Care Compare)

1555 Parkmoor Ave
San Jose, CA 95128-2407
Phone (408) 282-0402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
92066CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Services CurrentSince Nov 11, 2025 Accepting new patients
Interim, Inc. CurrentSince Mar 11, 2025 Accepting new patients
Interim, Inc. Current Accepting new patients
Hope Services Mental Health CurrentSince Nov 11, 2025 Accepting new patients
The Equine Healing Collaborative Inc Mental Health PastSince Apr 6, 2025 Accepting new patients
Monterey Counseling Center Past Accepting new patients
Interim, Inc. PastSince Jun 9, 2020 Accepting new patients

Locations

41 E San Luis St
Salinas, CA 93901
Phone (831) 676-3715

1555 Parkmoor Ave
San Jose, CA 95128
Phone (408) 282-0402

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1821269499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 423",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939500423",
            "telephone_number": "831-241-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 MONTEREY SALINAS HIGHWAY",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "93908",
            "telephone_number": "831-293-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "JODIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-21",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "92066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.