NICOLE WRIGHT
NPI 1811123698
Social Worker - Clinical in Gardena, CA

Q: What is Nicole Wright's NPI number?

The NPI number for Nicole Wright is 1811123698. It was assigned to this individual provider in the NPPES registry on June 7, 2009.

Q: What is Nicole Wright'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 Wright was last updated on July 10, 2024. 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 June 07, 2009PECOS Enrolled

879 W 190TH ST STE 300, GARDENA, CA 90248(310) 850-0115 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2024, May 6, 2024, Dec 11, 2023 and 4 more (7 updates tracked since 2018).

On this page

About Nicole Wright NPPES

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

NICOLE WRIGHT (NPI 1811123698) is an individual clinical provider in Gardena, California, licensed in California (121100) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1811123698

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameNICOLE WRIGHT

Location Address879 W 190TH ST STE 300Gardena, CA 90248-4223

Mailing Address879 W 190th St Ste 300Gardena, CA 90248-4223 · (310) 850-0115

Phone(310) 850-0115

Sole ProprietorNo

Enumeration DateJune 7, 2009

Last NPPES UpdateJuly 10, 20247 updates tracked since enumeration

NPPES CertifiedJuly 10, 2024

✔ NPI 1811123698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in CA · 121100✔ Licensed in CA · 112706

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 ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 112706 (CA), ASW75318 (CA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

879 W 190TH ST STE 300, Gardena, CA 90248

Open in Google Maps ↗

Secondary Practice Location 1

Location 12121 W Temple StLos Angeles, CA 90026-4915 · Phone (310) 850-0115

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Wright 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.

Medicare Billing Reassignments

Medicare enrollment records show Nicole Wright reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Special Service For Groups, Inc.

Same address

Mental Health (Including Community Mental Health Center)

879 W 190TH ST, SUITES 320 350 360 380 390
Gardena, CA 90248

Reassigned Medicare billing, California enrollment
131 clinicians in this Medicare group

NPI 1669503629 (310) 323-6887

Daniel Funsch Jr, M.D., Professional Corporation

2,461 mi

Emergency Medicine

885 3RD AVE FL 28
New York, NY 10022

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Daniel Funsch Jr MD Professional Corporation
40 clinicians in this Medicare group

NPI 1376389163 (929) 650-3990

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90248 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 $62.96 – $187.60

Typical copayment $0.00 (range $15.74 – $46.90)

Most-billed visit code NA

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

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.

JULIA FRIEDMAN

Student in an Organized Health Care Education/Training Program