Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Austin Dean Nystrom

Individual provider Clinical Social Worker · NPI 1861048928

Austin Dean Nystrom is a Clinical Social Worker in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

550 Higuera St Unit 33B
San Luis Obispo, CA 93401-4195
Phone: (530) 212-0288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 109696 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 91313 (CA)

Record details

NPI number1861048928
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 14, 2019
Last updated in NPPESMay 28, 2023
Certification dateMay 28, 2023

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