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NICOLE CANONIGO
NPI 1770936338
Social Worker - Clinical in Oakland, CA

Active since July 19, 2016
3301 E 12TH ST, OAKLAND, CA 94601(510) 269-9030 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 2, 2021, Nov 12, 2018, Nov 8, 2018 and 1 more (4 updates tracked since 2018).

About Nicole Canonigo NPPES

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

NICOLE CANONIGO (NPI 1770936338) is an individual clinical provider in Oakland, California, licensed in California (102598) and active in the NPI registry since July 2016. She maintains a secondary practice location in Oakland.

NPPES Registry Identity

NPI1770936338
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE CANONIGO
Location Address3301 E 12TH STOakland, CA 94601-3424
Mailing Address3301 E 12th StOakland, CA 94601-3424 · (510) 269-9030
Phone(510) 269-9030
Sole ProprietorNo
Enumeration DateJuly 19, 2016
Last NPPES UpdateAugust 2, 20214 updates tracked since enumeration
NPPES CertifiedAugust 2, 2021
✔ NPI 1770936338 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 · 102598
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.
3301 E 12TH ST, Oakland, CA 94601
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Secondary Practice Location 1

Location 12540 Charleston StOakland, CA 94602-2508 · Phone (510) 531-7551

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.

LEKHA PILLAI
Rehabilitation Practitioner
3301 E 12TH ST
OAKLAND, CA 94601
Alameda County (510) 269-9030
ZULEIKA L LEWIS
Day Training/Habilitation Specialist
3301 E 12TH ST
OAKLAND, CA 94601
Alameda County (510) 467-2445
SHAWNTEE S JAMES
Student in an Organized Health Care Education/Training Program
3301 E 12TH ST
OAKLAND, CA 94601
Alameda County (510) 269-9030
NADRIENNE A PINNOCK
Psychologist
3301 E 12TH ST
OAKLAND, CA 94601
Alameda County (510) 269-9030
ALEXANDER WALDEN
Student in an Organized Health Care Education/Training Program
3301 E 12TH ST, #259
OAKLAND, CA 94601
Alameda County (510) 269-9030
VICTORIA MARIE ALVARADO
Psychologist
3301 E 12TH ST
OAKLAND, CA 94601
Alameda County (510) 269-9030
CHLOE ISABEL VELADOR
Community Health Worker
3301 E 12TH ST
OAKLAND, CA 94601
Alameda County (510) 269-9030
MCKENA I ZAMORANO
Student in an Organized Health Care Education/Training Program
3301 E 12TH ST
OAKLAND, CA 94601
Alameda County (510) 269-9030

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 Canonigo's NPI number?

The NPI number for Nicole Canonigo is 1770936338. It was assigned to this individual provider in the NPPES registry on July 19, 2016.

Where is Nicole Canonigo located?

Nicole Canonigo practices at 3301 E 12th St, Oakland, CA 94601. The listed phone number is (510) 269-9030.

What is Nicole Canonigo's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicole Canonigo was last updated on August 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.