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

Nicole Canonigo

Individual provider Clinical Social Worker · NPI 1770936338

Nicole Canonigo is a Clinical Social Worker in Oakland, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

3301 E 12th St
Oakland, CA 94601-3424
Phone: (510) 269-9030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2540 Charleston St, Oakland, CA 94602-2508 — (510) 531-7551

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 102598 (CA)

Record details

NPI number1770936338
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 19, 2016
Last updated in NPPESAugust 2, 2021
Certification dateAugust 2, 2021

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