NICOLE GOODWIN SOCIAL WORKER NPI 1902964398

NPI Information

  • NPI: 1902964398
  • Provider Name: NICOLE GOODWIN, SOCIAL WORKER
  • Classification: Licensed Psychiatric Technician - 167G00000X
  • Entity Type: Individual
  • Address: 784 HIGH ST
    SAN LUIS OBISPO, CA
    ZIP 93401
  • Phone: (805) 540-6500

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NPI Details

Nicole Goodwin, SOCIAL WORKER is a licensed psychiatric technician in San Luis Obispo, CA. The provider is an individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. Nicole Goodwin, SOCIAL WORKER NPI is 1902964398. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

784 HIGH ST
SAN LUIS OBISPO, CA
ZIP 93401-243
Phone: (805) 540-6500

The enumeration date for this NPI number is 12/5/2006 and was last updated on 10/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1167G00000XLicensed Psychiatric TechnicianPT31294CALIFORNIAYes
2373H00000XDay Training/Habilitation SpecialistCALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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