Kimberly Nicolson, DSW, LCSW
NPI 1164617015 · Social Worker · Redondo Beach, CA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimberly Nicolson, DSW, LCSW is a Social Worker provider in Redondo Beach, CA (NPI 1164617015).
Provider details
- NPI number
- 1164617015
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- DSW, LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 62673 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-09-12
- Last updated
- 2024-12-26
- Certified
- 2024-12-26
Frequently asked questions
- What is Kimberly Nicolson's NPI number?
- Kimberly Nicolson's National Provider Identifier (NPI) is 1164617015, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Nicolson's specialty?
- Kimberly Nicolson is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Kimberly Nicolson located?
- Kimberly Nicolson's practice location on file with NPPES is 1840 S Elena Ave Ste 106, Redondo Beach, CA 90277-5716.
- What is Kimberly Nicolson's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Nicolson is (310) 737-2210.
- Does Kimberly Nicolson accept Medicare?
- Kimberly Nicolson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kimberly Nicolson's NPI active?
- Yes — Kimberly Nicolson's NPI (1164617015) is active in the NPPES registry as of the last update on 2024-12-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.