Rayna Bertolucci is a Clinical in Redding, California. Rayna Bertolucci practices all healthcare services and medical treatments related to Clinical. The NPI Number for Rayna Bertolucci is 1942221130. The last update date is 2007-07-08.
Rayna Bertolucci's current location address is 1714 West St, Redding, California. You can contact this provider via phone number 5309490420 and fax number 5303656752. The mailing address for Rayna Bertolucci is 1714 West St, Redding, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rayna Bertolucci |
|---|---|
| Address | 1714 West St, Redding, California |
| Phone Number | 5309490420 |
| Fax Number | 5303656752 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1942221130 |
|---|---|
| Provider Enumeration Date | 2006-07-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1714 West St |
|---|---|
| City | Redding |
| State | California (CA) |
| Post Code | 960011725 |
| Phone Number | 5309490420 |
| Fax Number | 5303656752 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS22115 |
|
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LCS22115 | CA | LISCENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Rayna Bertolucci by the Centers for Medicare & Medicaid Services?
The Rayna Bertolucci has been issued the NPI (National Provider Identifier) 1942221130 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Rayna Bertolucci is geographically located?
The Rayna Bertolucci is physically situated at the following location: 1714 West St, Redding, CA, 960011725.
What is the Rayna Bertolucci's specialty and taxonomy code?
The Rayna Bertolucci's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Rayna Bertolucci receive its 1942221130 assignment from the Centers for Medicare & Medicaid Services?
The Rayna Bertolucci was assigned its 1942221130 on 2006-07-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Rayna Bertolucci most recently updated or refreshed?
The details pertaining to the Rayna Bertolucci, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.