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

Individual provider Clinical Social Worker · NPI 1922555663

Nicole Rae Lippert Avshalomov, LCSW is a Clinical Social Worker in Hayward, California. Registered with an NPI since 2016.

In the registry since
2016
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

22505 Woodroe Ave
Hayward, CA 94541-3410
Phone: (510) 318-6112
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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

Record details

NPI number1922555663
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 9, 2016
Last updated in NPPESApril 18, 2024
Certification dateApril 18, 2024

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