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NICOLE MOOSE LCSW
NPI 1295440428
Social Worker - Clinical in Vista, CA

Active since January 23, 2023PECOS Enrolled
2428 CATALINA AVE, VISTA, CA 92084(760) 691-1609 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Moose Lcsw NPPES

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

NICOLE MOOSE LCSW (NPI 1295440428) is an individual clinical provider in Vista, California, licensed in California (98168) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295440428
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE MOOSECredential: LCSW
Location Address2428 CATALINA AVEVista, CA 92084-4810
Mailing Address1690 Elevado RdVista, CA 92084-2801 · (760) 710-1807
Phone(760) 691-1609
Sole ProprietorYes
Enumeration DateJanuary 23, 2023
NPPES CertifiedJanuary 22, 2023
✔ NPI 1295440428 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 · 98168
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.
2428 CATALINA AVE, Vista, CA 92084
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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 Moose Lcsw 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 92084 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 $62.10 – $184.71
Typical copayment $0.00 (range $15.52 – $46.17)
Most-billed visit code NA
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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

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

DISCOVERY PRACTICE MANAGEMENT, INC
Psychiatric Residential Treatment Facility
2428 CATALINA AVE
VISTA, CA 92084
San Diego County (714) 828-1800

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 Moose's NPI number?

The NPI number for Nicole Moose is 1295440428. It was assigned to this individual provider in the NPPES registry on January 23, 2023.

Where is Nicole Moose located?

Nicole Moose practices at 2428 Catalina Ave, Vista, CA 92084. The listed phone number is (760) 691-1609.

What is Nicole Moose's specialty?

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

Is Nicole Moose enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Moose was last updated on January 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.