Provider Demographics
NPI:1215367248
Name:TUASON, NICOLETTE (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:NICOLETTE
Middle Name:
Last Name:TUASON
Suffix:
Gender:
Credentials:MSW, LCSW
Other - Prefix:MISS
Other - First Name:NICOLETTE
Other - Middle Name:
Other - Last Name:DICHO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 285
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92564-0285
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11201 BENTON ST
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92357-6502
Practice Address - Country:US
Practice Address - Phone:909-825-7084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-12
Last Update Date:2025-03-28
Deactivation Date:2018-06-27
Deactivation Code:
Reactivation Date:2023-03-20
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical