Healthcare Provider Details

I. General information

NPI: 1902505852
Provider Name (Legal Business Name): NICHOLAS PAUL LEMOS MSW, ASW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2023
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

865 MITCHELL AVE
OROVILLE CA
95965-4646
US

IV. Provider business mailing address

PO BOX 1805
CHICO CA
95927-1805
US

V. Phone/Fax

Practice location:
  • Phone: 530-538-7950
  • Fax:
Mailing address:
  • Phone: 530-519-2278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW139813
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: