Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beach Psychotherapy

Organization Clinical Social Worker · NPI 1104051804

Beach Psychotherapy provides Clinical Social Worker services in San Diego, California. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

1767 Grand Ave Ste 4
San Diego, CA 92109-4400 Not confirmed with CMS for 17 years — call before visiting
Phone: (877) 293-8123
Fax: (858) 273-9410
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1104051804
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Dockter — Co-Director · (619) 318-5012
NPI enumeratedMay 26, 2009
Last updated in NPPESMay 26, 2009
Mailing address1767 Grand Ave Ste 4, San Diego, CA 92109-4400

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