Healthcare Provider Details

I. General information

NPI: 1922986249
Provider Name (Legal Business Name): ROY MCCURRY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 09/17/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 PLACERVILLE DR STE D
PLACERVILLE CA
95667-4200
US

IV. Provider business mailing address

670 PLACERVILLE DRIVE
PLACERVILLE CA
95667
US

V. Phone/Fax

Practice location:
  • Phone: 530-622-5551
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: