Individual provider Active NPI

Rechelle Naylor, LCSW

  • Clinical Social Worker
  • Fairfield, CA
National Provider Identifier
1003219734
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107861 Issued in CA
Practice address
675 Texas St FL 3
Suite 3800
Fairfield, CA 94533-6372
Phone
(707) 784-8129
Fax
(707) 784-8129
NPI assigned
Oct 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 107861 CA
Clinical Social Worker 1041C0700X 107861 CA Primary

Addresses

Primary practice location

675 Texas St FL 3
Suite 3800
Fairfield, CA 94533-6372

Mailing address

675 Texas St FL 3
Suite 3800
Fairfield, CA 94533-6372
Phone (707) 784-8129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Southern California Keck School of Medicine, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

275 Beck Ave
Fairfield, CA 94533-6804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107861CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Contra Costa County PastSince Jan 1, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1003219734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 TEXAS ST FL 3",
            "address_2": "SUITE 3800",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336372",
            "telephone_number": "707-784-8129",
            "fax_number": "707-784-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 TEXAS ST FL 3",
            "address_2": "SUITE 3800",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336372",
            "telephone_number": "707-784-8129",
            "fax_number": "707-784-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYLOR",
        "first_name": "RECHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "107861",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "107861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.