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NICOLE BENNETT LCSW
NPI 1780036798
Counselor - Mental Health in San Jose, CA

Active since July 01, 2016
4030 MOORPARK AVE STE 102, SAN JOSE, CA 95117(408) 359-7999 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 3, 2026, Apr 10, 2018, Jul 1, 2016 (3 updates tracked since 2016).

About Nicole Bennett Lcsw NPPES

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

NICOLE BENNETT LCSW (NPI 1780036798) is an individual mental health provider in San Jose, California and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1780036798
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE BENNETTCredential: LCSW
Location Address4030 MOORPARK AVE STE 102San Jose, CA 95117-1848
Mailing Address4030 Moorpark Ave Ste 102San Jose, CA 95117-1848 · (408) 359-7999
Phone(408) 359-7999
Sole ProprietorNo
Enumeration DateJuly 1, 2016
Last NPPES UpdateMarch 3, 20263 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
✔ NPI 1780036798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4030 MOORPARK AVE STE 102, San Jose, CA 95117
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Other Providers at the Same Location NPPES 5

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

AANAND NIMESH KADAKIA
Behavior Technician
4030 MOORPARK AVE STE 102
SAN JOSE, CA 95117
Santa Clara County (669) 205-1778
SHRESTH GUPTA NONE
Behavior Technician
4030 MOORPARK AVE STE 102
SAN JOSE, CA 95117
Santa Clara County (669) 205-1778
NICOLE BENNETT THERAPY, A LICENSED CLINICAL SOCIAL WORKER CORP.
Social Worker (Clinical)
4030 MOORPARK AVE STE 102
SAN JOSE, CA 95117
Santa Clara County (408) 359-7999
ANIYAH NACHELLE NICHOLS
Behavior Technician
4030 MOORPARK AVE STE 102
SAN JOSE, CA 95117
Santa Clara County (669) 205-1778
CARLY RUSHTON MARRIAGE AND FAMILY THERAPY, INC.
Marriage & Family Therapist
4030 MOORPARK AVE STE 102
SAN JOSE, CA 95117
Santa Clara County (408) 372-6741

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 Bennett's NPI number?

The NPI number for Nicole Bennett is 1780036798. It was assigned to this individual provider in the NPPES registry on July 1, 2016.

Where is Nicole Bennett located?

Nicole Bennett practices at 4030 Moorpark Ave Ste 102, San Jose, CA 95117. The listed phone number is (408) 359-7999.

What is Nicole Bennett'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 Bennett was last updated on March 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.