Wanda Fay Cossairt, LCSW
Individual provider Active NPI Clinical Social Worker · Red Bluff, CA
NPI 1861577751 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1861577751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCS21463 (CA)
- Practice address
- 1860 Walnut St
Suite a
Red Bluff, CA 96080-3611 - Phone
- (530) 527-5631
- Fax
- (530) 527-0232
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS21463 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tehama County | Past | Accepting new patients | |
| County of Tehama | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS21463 | CA | Yes |
Addresses
Primary practice location
1860 Walnut St
Suite a
Red Bluff, CA 96080-3611
Mailing address
PO Box 400
Red Bluff, CA 96080-0400
Phone (530) 527-5631
Other providers in Red Bluff, CA
- Elizabeth Cordero Orozco
- Jennifer Diane Cordova
- Debbie Cordray
- Corporate Training Group
- Humberto Corrales
- Peter John Cotsirilos Jr.
- County of Tehama
- County of Tehama
- County of Tehama
- County of Tehama
All providers in Red Bluff, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.