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

Nicole Marie Blackman, LCSW

Individual provider Social Worker · NPI 1346380334

Nicole Marie Blackman, LCSW is a Social Worker in San Diego, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2
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

3020 Children's Way Mc 5100
San Diego, CA 92123
Phone: (858) 576-1700
Fax: (619) 615-0705
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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 29180 (CA)
Social Worker Taxonomy 104100000X · Licence 20230 (CA)

Record details

NPI number1346380334
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 7, 2007
Last updated in NPPESMarch 4, 2021
Certification dateMarch 4, 2021

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