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

Nicole Moose, LCSW

Individual provider Clinical Social Worker · NPI 1295440428

Nicole Moose, LCSW is a Clinical Social Worker in Vista, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
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

2428 Catalina Ave
Vista, CA 92084-4810
Phone: (760) 691-1609
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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 98168 (CA)

Record details

NPI number1295440428
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 23, 2023
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 22, 2023
Mailing address1690 Elevado Rd, Vista, CA 92084-2801

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