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

Nicole Ryan Humphreys, LCSW

Individual provider School Social Worker · NPI 1154516052

Nicole Ryan Humphreys, LCSW is a Clinical Social Worker in Patton, California. Qualified in 2009, 17 years ago. Practices with Mood Clinical, P. C., a 100-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
17
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.

See every abbreviation used in this directory →

Practice location Address checks out

3102 E Highland Avenue Medical Staff Ofc
Patton, CA 92369
Phone: (909) 425-7000
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW29557 (CA)
School Social Worker Taxonomy 1041S0200X

Record details

NPI number1154516052
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 13, 2007
Last updated in NPPESNovember 17, 2016

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)
Group practice Mood Clinical, P. C. — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services