NICOLE LEDERMAN ACSW
NPI 1770218786
Counselor - Mental Health in Los Angeles, CA

Active since July 22, 2022
1603 GRANVILLE AVE, LOS ANGELES, CA 90025(917) 539-3658 Get Directions Write a Review

NPPES record last updated: November 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 11, 2022, Jul 28, 2022, Jul 22, 2022 (3 updates tracked since 2022).

About Nicole Lederman Acsw NPPES

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

NICOLE LEDERMAN ACSW (NPI 1770218786) is an individual mental health provider in Los Angeles, California, licensed in California (102930) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1770218786
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE LEDERMANCredential: ACSW
Location Address1603 GRANVILLE AVELos Angeles, CA 90025-7324
Mailing Address1603 Granville AveLos Angeles, CA 90025-7324
Sole ProprietorYes
Enumeration DateJuly 22, 2022
Last NPPES UpdateNovember 11, 20223 updates tracked since enumeration
NPPES CertifiedAugust 25, 2022
NPI 1770218786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · 102930
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 102930 (CA)
1603 GRANVILLE AVE, Los Angeles, CA 90025

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 Lederman's NPI number?

The NPI number for Nicole Lederman is 1770218786. It was assigned to this individual provider in the NPPES registry on July 22, 2022.

Where is Nicole Lederman located?

Nicole Lederman practices at 1603 Granville Ave, Los Angeles, CA 90025. The listed phone number is (917) 539-3658.

What is Nicole Lederman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Nicole Lederman was last updated on November 11, 2022. 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.