Raiz, Bayley A
Raiz, Bayley A is an sole proprietor health care provider with primary practice located at 5508 Macdonald Ave , El Cerrito CA 94530-1640. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Raiz, Bayley A can be contacted via phone (510) 374-2980.Contact Information
Primary practice address
5508 Macdonald Ave
El Cerrito CA 94530-1640
Phone: (510) 374-2980
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW 22900 | California |
Profile Details
| NPI number | 1154496206 |
|---|---|
| LBN Legal business name | Raiz, Bayley A |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154496206 | NPPES |
| California | Other | LCSW 22900 | SOCIAL WORK LICENSE |
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