Healthcare Provider Details

I. General information

NPI: 1720734775
Provider Name (Legal Business Name): SIERRA ANN WORD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2022
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 M ST
MODESTO CA
95354-0755
US

IV. Provider business mailing address

1252 OHIO AVE.
MODESTO CA
95358
US

V. Phone/Fax

Practice location:
  • Phone: 209-522-9568
  • Fax:
Mailing address:
  • Phone: 209-613-3969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: