NICOLE JOLENE PROCTOR MSW
NPI 1487263190
Social Worker - Clinical in San Diego, CA

Q: What is Nicole Proctor's NPI number?

The NPI number for Nicole Proctor is 1487263190. It was assigned to this individual provider in the NPPES registry on July 28, 2020.

Q: What is Nicole Proctor's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Proctor was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 28, 2020

409 CAMINO DEL RIO S STE 201, SAN DIEGO, CA 92108(619) 381-7748 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2023, Jul 29, 2022, Jul 28, 2020 (3 updates tracked since 2020).

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About Nicole Jolene Proctor Msw NPPES

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

NICOLE JOLENE PROCTOR MSW (NPI 1487263190) is an individual clinical provider in San Diego, California, licensed in California (106055) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1487263190

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameNICOLE JOLENE PROCTORCredential: MSW

Location Address409 CAMINO DEL RIO S STE 201San Diego, CA 92108-3505

Mailing Address2122 S El Camino Real Ste 102Oceanside, CA 92054-6209 · (971) 400-7042

Phone(619) 381-7748

Sole ProprietorYes

Enumeration DateJuly 28, 2020

Last NPPES UpdateOctober 10, 20233 updates tracked since enumeration

NPPES CertifiedOctober 10, 2023

✔ NPI 1487263190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 106055

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.

Also ListedSocial WorkerTaxonomy 104100000X · License LMSW-39660 (ID)

409 CAMINO DEL RIO S STE 201, San Diego, CA 92108

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Other Providers at the Same Location NPPES 20

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

CHRISTINE MARIE BOND

Student in an Organized Health Care Education/Training Program