Richard Naegle, MSW, PHD

Individual provider Active NPI Clinical Social Worker · Forestville, CA

NPI 1255404372 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1255404372
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LCS5865 (CA)
Practice address
7365 Covey Rd
Forestville, CA 95436-9587
Phone
(707) 887-1685
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LCS5865CAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS5865 CA Yes

Addresses

Primary practice location

7365 Covey Rd
Forestville, CA 95436-9587

Mailing address

7365 Covey Rd
Forestville, CA 95436-9587
Phone (707) 887-1685

Other providers in Forestville, CA

All providers in Forestville, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.