Trevor Acheson
Individual provider Active NPI Clinical Social Worker · Marina, CA
NPI 1922519552 · NPPES record last updated Oct 23, 2017
Key facts
- NPI
- 1922519552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 201 9TH Street
Marina, CA 93933 - Phone
- (831) 884-1000
- NPI assigned
- Oct 23, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
201 9TH Street
Marina, CA 93933
Mailing address
1066 41St Ave Unit A208
Capitola, CA 95010-3944
Other providers in Marina, CA
- Farnoosh Abbasi
- Jean-Philippe Melillo Abraham
- Action Physical Therapy of Marina
- Amy Elizabeth Adams
- Amanda Aguayo
- Maria del Carmen Aguilar
- Lorelei Ann Ahlemeyer
All providers in Marina, 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 Oct 23, 2017. 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.