Courtney Lawell

Individual provider Active NPI Social Worker · Olivehurst, CA

NPI 1700635018 · NPPES record last updated Jun 10, 2024

Key facts

NPI
1700635018
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
ASW121998 (CA)
Practice address
1450 English Way
Olivehurst, CA 95961-7480
Phone
(530) 434-9525
NPI assigned
May 17, 2024
Sex
Female
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

State licenses

LicenseStateTypeSpecialty
ASW121998CAMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ASW121998 CA Yes

Addresses

Primary practice location

1450 English Way
Olivehurst, CA 95961-7480

Mailing address

1450 English Way
Olivehurst, CA 95961-7480
Phone (530) 434-9525

Other providers in Olivehurst, CA

All providers in Olivehurst, CA · Social Worker in California

Sources for this page

Verify at the official NPI Registry.