Provider Demographics
NPI:1952030207
Name:BEST, DOREEN SYLVIA (ASW)
Entity Type:Individual
Prefix:
First Name:DOREEN
Middle Name:SYLVIA
Last Name:BEST
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:DOREEN
Other - Middle Name:BEST
Other - Last Name:SIELERT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ASW
Mailing Address - Street 1:1736 RANDON WAY
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-8647
Mailing Address - Country:US
Mailing Address - Phone:707-623-0129
Mailing Address - Fax:
Practice Address - Street 1:2225 CHALLENGER WAY
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95407-5441
Practice Address - Country:US
Practice Address - Phone:707-565-4101
Practice Address - Fax:707-565-5183
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA85038104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker