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

Mr. Brad K Nyman, LCSW

Individual provider Professional Counselor · NPI 1679807499

Mr. Brad K Nyman, LCSW is a Clinical Social Worker in Yucca Valley, California. Qualified in 2009, 17 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California and New Mexico.

Years since qualifying
17
Licensed in
CA, NM
In the registry since
2009
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

7355 Church St Ste A
Yucca Valley, CA 92284-3273
Phone: (949) 294-8627
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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 LCSW63280 (CA)
Professional Counselor Taxonomy 101YP2500X · Licence X-06721 (NM)
Professional Counselor Taxonomy 101YP2500X · Licence I-07957 (NM)

Record details

NPI number1679807499
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 25, 2009
Last updated in NPPESMay 31, 2024
Certification dateMay 31, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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