Provider Demographics
NPI:1003219734
Name:NAYLOR, RECHELLE (LCSW)
Entity Type:Individual
Prefix:
First Name:RECHELLE
Middle Name:
Last Name:NAYLOR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:675 TEXAS ST FL 3
Mailing Address - Street 2:SUITE 3800
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-6372
Mailing Address - Country:US
Mailing Address - Phone:707-784-8129
Mailing Address - Fax:707-784-8129
Practice Address - Street 1:675 TEXAS ST FL 3
Practice Address - Street 2:SUITE 3800
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-6372
Practice Address - Country:US
Practice Address - Phone:707-784-8129
Practice Address - Fax:707-784-8129
Is Sole Proprietor?:No
Enumeration Date:2014-10-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA107861104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker