Individual provider Active NPI

Nicole Alexis Dhamnaskar, LCSW

  • Clinical Social Worker
  • Tracy, CA
National Provider Identifier
1902087364
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28830 Issued in CA
Practice address
35 E 10TH St
Tracy, CA 95376-4058
Phone
(650) 660-9660
NPI assigned
Nov 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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 28830 CA Primary

Addresses

Primary practice location

35 E 10TH St
Tracy, CA 95376-4058

Mailing address

68 E 11TH St Ste 107
Tracy, CA 95376-4088
Phone (650) 660-9660

Other names 1

  • Nicole Alexis Laperdon Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Teen Therapy Licensed Clinical Social Worker Apc Mental Health CurrentSince Jul 28, 2025 Accepting new patients

Locations

35 E 10th St
Tracy, CA 95376
Phone (209) 830-1156

68 E 11th St
Ste 107
Tracy, CA 95376

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": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1902087364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 E 11TH ST STE 107",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953764088",
            "telephone_number": "650-660-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E 10TH ST",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953764058",
            "telephone_number": "650-660-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAMNASKAR",
        "first_name": "NICOLE",
        "middle_name": "ALEXIS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "28830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "LAPERDON",
            "middle_name": "ALEXIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.