MRS. NICOLE LYNN ICHULL-INGYA RADT
NPI 1982210092
Social Worker - Clinical in San Diego, CA

Q: What is Nicole Ichull-ingya's NPI number?

The NPI number for Nicole Ichull-ingya is 1982210092. It was assigned to this individual provider in the NPPES registry on September 23, 2020. The provider is also known as Nicole Lynn Iwan.

Q: What is Nicole Ichull-ingya's specialty?

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

Active since September 23, 2020

2865 LOGAN AVE, SAN DIEGO, CA 92113(619) 232-4357 Get Directions Write a Review

NPPES record last updated: November 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 9, 2025, May 24, 2023, May 17, 2023 and 6 more (9 updates tracked since 2020).

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About Mrs. Nicole Lynn Ichull-ingya Radt NPPES

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

MRS. NICOLE LYNN ICHULL-INGYA RADT (NPI 1982210092) is an individual clinical provider in San Diego, California, licensed in California (121090) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1982210092

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. NICOLE LYNN ICHULL-INGYACredential: RADT

Location Address2865 LOGAN AVESan Diego, CA 92113-2411

Mailing Address2865 Logan AveSan Diego, CA 92113-2411 · (619) 232-4357

Phone(619) 232-4357

Sole ProprietorNo

Enumeration DateSeptember 23, 2020

Last NPPES UpdateNovember 9, 20259 updates tracked since enumeration

NPPES CertifiedNovember 9, 2025

✔ NPI 1982210092 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 · 121090

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.

2865 LOGAN AVE, San Diego, CA 92113

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Other Names 1

Former Name (1)Nicole Lynn Iwan

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.

DIONE TAYLOR

Counselor (Mental Health)