Healthcare Provider Details

I. General information

NPI: 1366032682
Provider Name (Legal Business Name): DANIELLE RESTIEAUX-LOUIS MSW, ASW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MA CHER DANIELLE RESTIEAUX-LOUIS LCSW

II. Dates (important events)

Enumeration Date: 01/20/2021
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 D ST
PETALUMA CA
94952-3023
US

IV. Provider business mailing address

670 D ST
PETALUMA CA
94952-3023
US

V. Phone/Fax

Practice location:
  • Phone: 707-756-6271
  • Fax:
Mailing address:
  • Phone: 707-756-6271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW136168
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: