Healthcare Provider Details

I. General information

NPI: 1730358730
Provider Name (Legal Business Name): RAINE ARNDT-COUCH LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2008
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3718 RUETTE SAN RAPHAEL
SAN DIEGO CA
92130-8606
US

IV. Provider business mailing address

3718 RUETTE SAN RAPHAEL
SAN DIEGO CA
92130-8606
US

V. Phone/Fax

Practice location:
  • Phone: 808-218-8947
  • Fax:
Mailing address:
  • Phone: 808-218-8947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number73860
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number3699
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: