REDWOOD COMMUNITY SERVICES, INC. (NPI# 1487172375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487172375 |
| Entity Type | Organization |
| Organization Name | REDWOOD COMMUNITY SERVICES, INC. |
| Practice Address |
320 1st St Lakeport CA 95453-4706 |
| Mailing Address |
Po Box 2077 Ukiah CA 95482-2077 |
| Practice Telephone | 7072630372 |
| Practice Fax Number | 7072630374 |
| Mailing Telephone | 7074672010 |
| Mailing Fax Number | 7074626994 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2020-01-21 |
| Authorized Official Name | MRS. VICTORIA JERUSHA KELLY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7074672010 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 253J00000X | Foster Care Agency | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184118929 | Redwood Community Services, Inc. | Case Management | 9981a Spring Valley Rd, Potter Valley, CA 95469-9713 | 2018-06-15 |
| 1164951851 | Redwood Community Services, Inc. | Foster Care Agency | 2426 6th St, Eureka, CA 95501 | 2017-06-07 |
| 1326305152 | Redwood Community Services, Inc. | Case Management | 310 3rd St, Eureka, CA 95501-0492 | 2012-04-18 |
| 1538445358 | Redwood Community Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7351 Sems Ln, Redwood Valley, CA 95470 | 2011-10-25 |
| 1285772251 | Redwood Community Services, Inc. | Marriage & Family Therapist | 6150 Orr Springs Rd, Ukiah, CA 95482-9032 | 2007-02-02 |
| 1174661284 | Redwood Community Services, Inc. | Marriage & Family Therapist | 99 S Humboldt St, Willits, CA 95490-3509 | 2007-02-01 |
| 1578085163 | Redwood Community Services, Inc. | Case Management | 7690 East Rd, Redwood Valley, CA 95470 | 2017-07-14 |
| 1477075067 | Redwood Community Services, Inc. | Case Management | 150 Gibson St, Ukiah, CA 95482-3941 | 2017-07-14 |
| 1285187526 | Redwood Community Services, Inc. | Case Management | 9981 Spring Valley Rd, Potter Valley, CA 95469-9713 | 2016-08-03 |
| 1427401439 | Redwood Community Services, Inc. | Case Management | 780 S Dora St, Ukiah, CA 95482-5348 | 2016-07-14 |
| Street Address |
320 1ST ST |
| City | LAKEPORT |
| State | CA |
| Zip Code | 95453-4706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164775201 | Michelle Sagehorn | Counselor | 320 1st St, Lakeport, CA 95453-4706 | 2012-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427526847 | Easter Seals Bay Area | Early Intervention Provider Agency | 1950 Parallel Drive, Lakeport, CA 95453 | 2018-11-03 |
| 1285000810 | Lake County Tribal Health Consortium, Inc. | Clinic/Center | 14678 Lakeshore Boulevard, Clearlake, CA 95453 | 2015-08-18 |
| 1942558721 | Lorena A Watson | Nurse Practitioner | 5108 Hill Road East, Lakeport, CA 95453 | 2012-08-27 |
| 1992024657 | Jennifer Stolworthy Smith | Case Manager/Care Coordinator | 991 Parallel Dr. Ste. B, County of Lake, Mental Health, Lakeport, CA 95453 | 2010-05-20 |
| 1376720664 | June Arisa Masato | Marriage & Family Therapist | 1152 S. Main St, Lakeport, CA 95453 | 2008-01-29 |
| 1245417021 | Robert Ryan Taylor Sr. | Physical Therapist | 1285 S Main Street, Lakeport, CA 95453 | 2008-01-24 |
| 1760669618 | Joan Kammerer | Registered Nurse | 922 Bevins Court, Lakeport, CA 95453 | 2008-01-23 |
| 1881878353 | Mary Theresa Mcmillan | Marriage & Family Therapist | 75 Fourth Street, Lakeport, CA 95453 | 2007-12-19 |
| 1922288984 | Robert William Krause | Family Medicine | 755 Eleventh St, Lakeport, CA 95453 | 2007-11-07 |
| 1568683092 | Dan Sleeth | Marriage & Family Therapist | 991 Parallel Dr., Lakeport, CA 95453 | 2007-05-01 |
| Find all providers in zip 95453 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275083982 | Lake County Office of Education | Community/Behavioral Health | 1152 S Main St, Lakeport, CA 95453-5517 | 2016-10-05 |
| 1285893511 | Lake Family Resource Center | Community/Behavioral Health | 896 Lakeport Blvd, Lakeport, CA 95453-5421 | 2008-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
| 1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
| 1588264113 | Licensed Clinical Social Worker Community Alliance PC | Community/Behavioral Health | 301 S 23rd St, Richmond, CA 94804-2807 | 2020-11-01 |
| 1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
| 1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
| 1891395232 | Jacqulyn Danielle Rios | Community/Behavioral Health | 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 | 2020-10-26 |
| 1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
| 1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
| 1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
| 1326647686 | Sierra Child & Family Services | Community/Behavioral Health | 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.