Individual provider · Type 1 NPI
Raevan Monica Shepherd, ASW
Clinical Social Worker · Lower Lake, CA
Practice location
9055 Hwy 53
Lower Lake, CA 95422-8458
Mailing address
2681 Lakeshore Blvd Apt 7
Lakeport, CA 95453-6971
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 118333 (CA) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
Other clinical social worker providers in Lower Lake
About NPI 1053812883
Raevan Monica Shepherd, ASW's National Provider Identifier is 1053812883, issued on Feb 27, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lower Lake, CA. The record was last updated on Oct 7, 2025.