Healthcare Provider Details

I. General information

NPI: 1932244399
Provider Name (Legal Business Name): STEPHANIE KRISTINE BADAME ASW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 PLUMAS ST
YUBA CITY CA
95991-4437
US

IV. Provider business mailing address

8738 SKYWAY
PARADISE CA
95969-2109
US

V. Phone/Fax

Practice location:
  • Phone: 530-822-7478
  • Fax: 530-822-7484
Mailing address:
  • Phone: 530-872-7473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: