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NICOLE WILSON
NPI 1033576400
Social Worker - Clinical in Los Angeles, CA

Active since January 15, 2016PECOS Enrolled
4325 W SUNSET BLVD STE 206, LOS ANGELES, CA 90029(619) 722-0550 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 2, 2021, Jan 15, 2016 (2 updates tracked since 2016).

About Nicole Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE WILSON (NPI 1033576400) is an individual clinical provider in Los Angeles, California, licensed in California (94855) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033576400
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE WILSON
Location Address4325 W SUNSET BLVD STE 206Los Angeles, CA 90029-2180
Mailing AddressPo Box 16252San Diego, CA 92176-6252 · (619) 722-0550
Phone(619) 722-0550
Sole ProprietorNo
Enumeration DateJanuary 15, 2016
Last NPPES UpdateJune 2, 20212 updates tracked since enumeration
NPPES CertifiedJune 2, 2021
✔ NPI 1033576400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 94855
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4325 W SUNSET BLVD STE 206, Los Angeles, CA 90029
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Wilson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN ECCKER LCSW
Social Worker (Clinical)
4325 W SUNSET BLVD STE 206
LOS ANGELES, CA 90029
Los Angeles County (310) 388-7983
KRISTI ILHAN TOPRAKCI MA, LMFT
Marriage & Family Therapist
4325 W SUNSET BLVD STE 206
LOS ANGELES, CA 90029
Los Angeles County (541) 630-0893
BRANDON KENNETH MALDE-ZORADI LMFT, LPCC
Marriage & Family Therapist
4325 W SUNSET BLVD STE 206
LOS ANGELES, CA 90029
Los Angeles County (805) 705-7211
LYNDSEY MOTAREFI LMFT
Marriage & Family Therapist
4325 W SUNSET BLVD STE 206
LOS ANGELES, CA 90029
Los Angeles County (305) 787-3677
SKYLAR MAMIE LENOX IBARRA MSW
Social Worker (Clinical)
4325 W SUNSET BLVD STE 206
LOS ANGELES, CA 90029
Los Angeles County (310) 388-7983
DR. RAFFI J ZAKIAN PH.D.
Psychologist
4325 W SUNSET BLVD STE 206
LOS ANGELES, CA 90029
Los Angeles County (310) 879-8004
ALYSON ROUX MS, CNS
Nutritionist
4325 W SUNSET BLVD STE 206
LOS ANGELES, CA 90029
Los Angeles County (323) 454-3624
ABIGAIL KAHLER AMFT
Marriage & Family Therapist
4325 W SUNSET BLVD STE 206
LOS ANGELES, CA 90029
Los Angeles County (800) 726-3890

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Wilson's NPI number?

The NPI number for Nicole Wilson is 1033576400. It was assigned to this individual provider in the NPPES registry on January 15, 2016.

Where is Nicole Wilson located?

Nicole Wilson practices at 4325 W Sunset Blvd Ste 206, Los Angeles, CA 90029. The listed phone number is (619) 722-0550.

What is Nicole Wilson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Nicole Wilson enrolled in Medicare?

Yes. Nicole Wilson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Wilson was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.