Nicholas Broughton Egger, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW71348 Issued in CA

Practice address

45 N 1St St Ste D
Campbell, CA 95008-2033

Phone

(209) 342-7309

Fax

(669) 201-1284

NPI assigned

Apr 14, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Insightfulways

  • Community/Behavioral Health Agency
  • Turlock, CA
  • NPI 1013441898
  NPD (past)

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952691685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2593",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950382593",
            "telephone_number": "209-342-7309",
            "fax_number": "209-850-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 N 1ST ST STE D",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082033",
            "telephone_number": "209-342-7309",
            "fax_number": "669-201-1284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Scenic Dr",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953506131",
            "country_code": "US",
            "telephone_number": "209-342-7309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "384 E Olive Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Turlock",
            "state": "CA",
            "postal_code": "953804051",
            "country_code": "US",
            "telephone_number": "209-342-7309",
            "fax_number": "209-850-9411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17760 Monterey Rd Ste A5",
            "address_purpose": "LOCATION",
            "city": "Morgan Hill",
            "state": "CA",
            "postal_code": "950377305",
            "country_code": "US",
            "telephone_number": "209-342-7309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGGER",
        "first_name": "NICHOLAS",
        "middle_name": "BROUGHTON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-14",
        "last_updated": "2022-07-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW71348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CA293579",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Trevor Eagle
• Eastfield Ming Quong
• Eastfield Ming Quong
• Elaine Edberg, LVN
• Daniel Edelman
• Mikayla Lynn Ehlenberger
• Betina Toni Eiland
• Chana Ellen Eisenstein, DVM
• Nancy Elizarraras
• Umar Ellahie, DC

• Clinical Social Worker in Campbell, CA
• Providers in Campbell, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.