Rayna Bertolucci, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS22115 Issued in CA

Practice address

1714 West St
2ND Floor
Redding, CA 96001-1725

Phone

(530) 949-0420

Fax

(530) 365-6752

NPI assigned

Jul 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• His Ideas, Inc

  • Foster Care Agency
  • Redding, CA
  • NPI 1386416774
  NPD (past)
• His Ideas, Inc

  • Community/Behavioral Health Agency
  • Red Bluff, CA
  • NPI 1568641470
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942221130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 HILLTOP DR STE 15",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020511",
            "telephone_number": "530-221-2585",
            "fax_number": "530-221-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 WEST ST",
            "address_2": "2ND FLOOR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011725",
            "telephone_number": "530-949-0420",
            "fax_number": "530-365-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOLUCCI",
        "first_name": "RAYNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS22115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENSE",
            "identifier": "LCS22115",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lena Berhane
• Louis D Bernstein, M.D.
• Jenna Berry, MSW
• Staci Bertagna, MSW, LCSW
• April Bertain
• Best Behavior, LLC
• Andrew K Best, M.D.
• Sally Ann Bethea-Holt, MASSAGE THERAPIST
• Justin Scott Bethel, CMT
• Better Choices Inc.

• Clinical Social Worker in Redding, CA
• Providers in Redding, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.