Healthcare Provider Details

I. General information

NPI: 1841474152
Provider Name (Legal Business Name): MS. GEM B WARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/21/2007
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 E MAIN ST
GRASS VALLEY CA
95945-5853
US

IV. Provider business mailing address

900 E MAIN ST
GRASS VALLEY CA
95945-5853
US

V. Phone/Fax

Practice location:
  • Phone: 530-264-6224
  • Fax:
Mailing address:
  • Phone: 530-477-9800
  • Fax: 530-477-9803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number139163
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: