Look up the most recent NPI and PECOS records

Nicole Nemiroff

Social Worker

Behavioral Health & Social Service Providers

1887 Monterey Hwy Ste 225, San Jose, CA 95112

PECOS Enrollment

Based on the most recent information from CMS, provider Nicole Nemiroff is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1689073504
Provider Type
Individual
Full Name
Nemiroff, Nicole
Title
Miss

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/15/2014
Last Updated
6/11/2025

Contact Information

Practice Location

1887 Monterey Hwy Ste 225, San Jose, CA 95112

(408) 706-6855

Unlisted Fax

Mailing Location

16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417

(949) 833-2237

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 106H00000X	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 105065 California
Code 106S00000X	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer

Nicole Nemiroff

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Brandes, Nicole

Valle, Jennifer

Tran, Jennifer Vi

Catalan, Jessica

Samreth, Avy Linda

Tran, Lily

Yang, Phuong M

Chun, Hwayoon

Barranti, Juliana D

Phan, Tuan