Healthcare Provider Details

I. General information

NPI: 1386047033
Provider Name (Legal Business Name): NORTHERN VALLEY CATHOLIC SOCIAL SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2014
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 WASHINGTON ST
GRIDLEY CA
95948-2532
US

IV. Provider business mailing address

2400 WASHINGTON AVE
REDDING CA
96001-2802
US

V. Phone/Fax

Practice location:
  • Phone: 530-846-6175
  • Fax: 530-846-3099
Mailing address:
  • Phone: 530-241-0552
  • Fax: 530-247-3347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ERNA FRIEDEBERG
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 530-241-0552