Provider Demographics
NPI:1710052824
Name:RICE, NAOMI NONE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:NAOMI
Middle Name:NONE
Last Name:RICE
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 1:3433 AMERICAN RIVER DR STE A
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95864-5742
Mailing Address - Country:US
Mailing Address - Phone:916-485-7597
Mailing Address - Fax:916-488-9512
Practice Address - Street 1:3433 AMERICAN RIVER DR
Practice Address - Street 2:STE A
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95864-5742
Practice Address - Country:US
Practice Address - Phone:916-485-7597
Practice Address - Fax:916-488-9512
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS45451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ39824ZMedicare ID - Type Unspecified