| Liz Nickole Therapy, A Licensed Clinical Social Worker Professional Co | |
|
4750 Almaden Expy Ste 124-335 San Jose CA 95118-2052 | |
| (408) 766-2940 | |
| Not Available |
| Full Name | Liz Nickole Therapy, A Licensed Clinical Social Worker Professional Co |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4750 Almaden Expy Ste 124-335, San Jose, California |
| Authorized Official Name and Position | Elizabeth Baumeister (PRESIDENT) |
| Authorized Official Contact | 4087662940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liz Nickole Therapy, A Licensed Clinical Social Worker Professional Co 4750 Almaden Expy Ste 124-335 San Jose CA 95118-2052 Ph: (408) 766-2940 | Liz Nickole Therapy, A Licensed Clinical Social Worker Professional Co 4750 Almaden Expy Ste 124-335 San Jose CA 95118-2052 Ph: (408) 766-2940 |
| NPI Number | 1467331744 |
|---|---|
| Provider Enumeration Date | 08/29/2025 |
| Last Update Date | 08/29/2025 |
| Certification Date | 08/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467331744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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