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NICOLE GOODWIN SOCIAL WORKER
NPI 1902964398
Licensed Psychiatric Technician in San Luis Obispo, CA

Active since December 05, 2006
784 HIGH ST, SAN LUIS OBISPO, CA 93401(805) 540-6500 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2025, Feb 8, 2024, Nov 16, 2023 (3 updates tracked since 2023).

About Nicole Goodwin Social Worker NPPES

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

NICOLE GOODWIN SOCIAL WORKER (NPI 1902964398) is an individual licensed psychiatric technician in San Luis Obispo, California, licensed in California (PT31294) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1902964398
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameNICOLE GOODWINCredential: SOCIAL WORKER
Location Address784 HIGH STSan Luis Obispo, CA 93401-5243
Mailing Address784 High StSan Luis Obispo, CA 93401-5243 · (805) 540-6500
Phone(805) 540-6500
Sole ProprietorNo
Enumeration DateDecember 5, 2006
Last NPPES UpdateOctober 21, 20253 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
✔ NPI 1902964398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License✔ Licensed in CA · PT31294
Definition
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X
784 HIGH ST, San Luis Obispo, CA 93401
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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.

RAYMOND SAINT TAVAREZ
Counselor (Mental Health)
784 HIGH ST
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 540-6500
ANANYA KUMAR
Health Educator
784 HIGH ST
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 540-6500
ALBERT REA
Rehabilitation Practitioner
784 HIGH ST
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 540-6500
AMANDA DUDA
Counselor (Mental Health)
784 HIGH ST
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 540-6500
MRS. LINDSAY CATHERINE WARDLAW AMFT
Counselor (Mental Health)
784 HIGH ST
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 540-6500
MALIA JOSEPHINE CARINIO
Counselor (Mental Health)
784 HIGH ST
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 540-6500
ANNA KATRINA WALDEN
Case Manager/Care Coordinator
784 HIGH ST
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 540-6500
AHNA NICOLE BISHOP LCSW
Social Worker (Clinical)
784 HIGH ST
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 540-6500

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 Goodwin's NPI number?

The NPI number for Nicole Goodwin is 1902964398. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Nicole Goodwin located?

Nicole Goodwin practices at 784 High St, San Luis Obispo, CA 93401. The listed phone number is (805) 540-6500.

What is Nicole Goodwin's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Nicole Goodwin was last updated on October 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.