Raevan Monica Shepherd, ASW is a
Social Worker - Clinical based in Clearlake, California. Raevan Monica Shepherd is licensed to practice in California (license number 118333) and her current practice location is
7000b S Center Dr, Clearlake, California. She can be reached at her office (for appointments etc.) via phone at
(707) 994-7090.
NPI number for Raevan Monica Shepherd is 1053812883 and her current mailing address is 2681 Lakeshore Blvd Apt 7, Lakeport, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053812883.
Healthcare Provider's Profile
Full Name | Raevan Monica Shepherd |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 7000b S Center Dr, Clearlake, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053812883
- Provider Enumeration Date: 02/27/2018
- Last Update Date: 04/17/2025
Medical Identifiers
Medical identifiers for Raevan Monica Shepherd such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053812883 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 118333 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Raevan Monica Shepherd is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Raevan Monica Shepherd, ASW 2681 Lakeshore Blvd Apt 7, Lakeport, CA 95453-6971 Ph: (707) 295-2304 | Raevan Monica Shepherd, ASW 7000b S Center Dr, Clearlake, CA 95422-8458 Ph: (707) 994-7090 |
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