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NPI Code Detail

MEDICARE: RUBI PELAYO PRECIADO LCSW

MEDICARE: RUBI PELAYO PRECIADO LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker115795CA

General Provider Information

NPI Number : 1497303358
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUBI PELAYO PRECIADO LCSW
Provider Business Mailing Address
First Line : 1272 HAYES ST
Second Line :
City : NAPA
State : CA
Zip : 94559-1711
Country : US
Telephone Number : 707-255-0966
Fax Number :
Provider Business Practice Location Address
First Line : 1272 HAYES ST
Second Line :
City : NAPA
State : CA
Zip : 94559-1711
Country : US
Telephone Number : 707-255-0966
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2019
Last Update Date : 04/14/2026

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Directions to “ RUBI PELAYO PRECIADO LCSW” Practice Location

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