Woodland Nature Therapy Licensed Clinical Social Worker, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WOODLAND NATURE THERAPY LICENSED CLINICAL SOCIAL WORKER, INC.

Doing business as

Woodland Nature Therapy

Practice address

12383 Mays Canyon Rd
Guerneville, CA 95446-9499

Phone

(707) 604-1400

NPI assigned

Nov 6, 2024

Last updated

Nov 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Sean Rosas, LCSWNPI 1366004079

Title

Owner

Phone

(707) 604-1400

Specialties & licenses 1

Addresses

Other names 1

• Woodland Nature Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sean A Rosas, LCSW

  • Clinical Social Worker
  • Guerneville, CA
  • NPI 1366004079
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1891518882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12383 MAYS CANYON RD",
            "city": "GUERNEVILLE",
            "state": "CA",
            "postal_code": "954469499",
            "telephone_number": "707-604-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12383 MAYS CANYON RD",
            "city": "GUERNEVILLE",
            "state": "CA",
            "postal_code": "954469499",
            "telephone_number": "707-604-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND NATURE THERAPY LICENSED CLINICAL SOCIAL WORKER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "ROSAS",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-604-1400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Nature Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Woodland Nature Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Guerneville, CA
• Providers in Guerneville, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.