Healthcare Provider Details

I. General information

NPI: 1932517455
Provider Name (Legal Business Name): RACHEL CHAVEZ LCSW, PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHEL BRIGGS

II. Dates (important events)

Enumeration Date: 07/28/2014
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2295 HILLTOP DR STE 3
REDDING CA
96002-0515
US

IV. Provider business mailing address

19900 LIVE OAK RD
RED BLUFF CA
96080-9250
US

V. Phone/Fax

Practice location:
  • Phone: 530-355-8496
  • Fax: 530-725-8000
Mailing address:
  • Phone: 530-355-8496
  • Fax: 530-725-8000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number90756
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW90756
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: