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NICOLE MARIE ANDERSON LCSW
NPI 1679766380
Social Worker - Clinical in San Diego, CA

Active since August 26, 2007PECOS Enrolled
6136 MISSION GORGE RD STE 106, SAN DIEGO, CA 92120(619) 786-1351 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2020, Mar 17, 2018, Dec 18, 2017 and 1 more (4 updates tracked since 2017).

About Nicole Marie Anderson Lcsw NPPES

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

NICOLE MARIE ANDERSON LCSW (NPI 1679766380) is an individual clinical provider in San Diego, California, licensed in California (28443) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1679766380
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE MARIE ANDERSONCredential: LCSW
Location Address6136 MISSION GORGE RD STE 106San Diego, CA 92120-3413
Mailing Address4784 34th StSan Diego, CA 92116-1832 · (619) 786-1351
Phone(619) 786-1351
Sole ProprietorYes
Enumeration DateAugust 26, 2007
Last NPPES UpdateApril 14, 20204 updates tracked since enumeration
NPPES CertifiedApril 14, 2020
✔ NPI 1679766380 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 · 28443
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.
6136 MISSION GORGE RD STE 106, San Diego, CA 92120
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Secondary Practice Location 1

Location 11202 Morena Blvd Ste 300San Diego, CA 92110-3844 · Phone (619) 275-0822

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 Marie Anderson 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 92120 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.

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 Anderson's NPI number?

The NPI number for Nicole Anderson is 1679766380. It was assigned to this individual provider in the NPPES registry on August 26, 2007.

Where is Nicole Anderson located?

Nicole Anderson practices at 6136 Mission Gorge Rd Ste 106, San Diego, CA 92120. The listed phone number is (619) 786-1351.

What is Nicole Anderson's specialty?

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

Is Nicole Anderson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Anderson was last updated on April 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.