Healthcare Provider Details

I. General information

NPI: 1477278901
Provider Name (Legal Business Name): RACHEL MARIE NAVARRO LCSW110392
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2022
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 S BROADWAY
WALNUT CREEK CA
94596-5294
US

IV. Provider business mailing address

2401 WATERMAN BLVD STE 4A-156
FAIRFIELD CA
94534-1800
US

V. Phone/Fax

Practice location:
  • Phone: 707-689-1540
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW110392
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: