Active NPIIndividual provider

Richelle L Vanburen-Walls, LSW

Social Worker, Clinical in Beale Afb, California

NPI Number1871898437
Practice location
15301 Warren Shingle RD, Beale Afb, CA 95903-1905
Fax
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Last updated
November 25, 2024

Richelle L Vanburen-Walls is a Social Worker, Clinical based in Beale Afb, CA. Richelle L Vanburen-Walls practices in Beale Afb, CA and has the professional credentials of LSW. The NPI Number for Richelle L Vanburen-Walls is 1871898437 and holds a License No. 4488 (ND). The current practice location address for Richelle L Vanburen-Walls is 15301 Warren Shingle RD, Beale Afb, CA 95903-1905 and can be reached out via phone at 530-634-4662.

Provider Profile Details

NPI Number
1871898437
Provider Name
Richelle L Vanburen-Walls
Credential
LSW
Provider Entity Type
Individual
Gender
Female
Address
15301 Warren Shingle RD, Beale Afb, CA 95903-1905
Phone Number
530-634-4662
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
January 12, 2011
Last Update Date
November 25, 2024
Certification Date
November 25, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
15301 Warren Shingle RD
Beale Afb, CA 95903-1905
Zip
95903-1905
Phone Number
530-634-4662
Beale Afb, CA 95903Get directions →

Provider Business Mailing Address Details

Address
221 Crescent St Ste 202
Waltham, MA 02453-3425
City
Waltham
State
MA
Zip
02453-3425
Phone Number
781-487-1107
Fax Number
919-765-8657

License Information

License Number (1)
4488
License State (1)
ND
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
LW61300559
License State (2)
WA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X
License Number (3)
12473
License State (3)
LA
Taxonomy (3)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Richelle L Vanburen-Walls, LSW?

The NPI number of Richelle L Vanburen-Walls, LSW is 1871898437. It was assigned on January 12, 2011 and is currently active in the NPPES registry.

What is the specialty of Richelle L Vanburen-Walls, LSW?

Richelle L Vanburen-Walls, LSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ND under license number 4488.

Where does Richelle L Vanburen-Walls, LSW practice?

The practice location is 15301 Warren Shingle RD, Beale Afb, CA 95903-1905. The office can be reached at 530-634-4662 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871898437 directly on the NPPES registry website.

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