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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE DANIELLE WIDMAN LCSW
NPI 1972179828
Social Worker - Clinical in Dana Point, CA

Active since June 01, 2021PECOS Enrolled
34248 VIA SANTA ROSA, DANA POINT, CA 92624(844) 268-8412 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2026, Mar 2, 2026, Aug 23, 2022 and 1 more (4 updates tracked since 2021).

About Nicole Danielle Widman Lcsw NPPES

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

NICOLE DANIELLE WIDMAN LCSW (NPI 1972179828) is an individual clinical provider in Dana Point, California, licensed in California (120505) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Newport Beach.

NPPES Registry Identity

NPI1972179828
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE DANIELLE WIDMANCredential: LCSW
Location Address34248 VIA SANTA ROSADana Point, CA 92624-1121
Mailing Address3857 Birch St # 9105Newport Beach, CA 92660-2616
Phone(844) 268-8412
Sole ProprietorNo
Enumeration DateJune 1, 2021
Last NPPES UpdateJuly 31, 20264 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1972179828 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 · 120505
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.
34248 VIA SANTA ROSA, Dana Point, CA 92624
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Secondary Practice Location 1

Location 13857 Birch St # 9105Newport Beach, CA 92660-2616 · Phone (949) 688-3511

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Danielle Widman Lcsw 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92624 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

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

PACIFIC HILLS TREATMENT CENTERS, INC.
Substance Abuse Rehabilitation Facility
34248 VIA SANTA ROSA
CAPISTRANO BEACH, CA 92624
Orange County (949) 489-8121

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 Widman's NPI number?

The NPI number for Nicole Widman is 1972179828. It was assigned to this individual provider in the NPPES registry on June 1, 2021.

Where is Nicole Widman located?

Nicole Widman practices at 34248 Via Santa Rosa, Dana Point, CA 92624. The listed phone number is (844) 268-8412.

What is Nicole Widman's specialty?

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

Is Nicole Widman enrolled in Medicare?

Yes. Nicole Widman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Widman was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.