716 ESTABLISHMENT NPI 1205636685

NPI Information

  • NPI: 1205636685
  • Provider Name: 716 ESTABLISHMENT
  • Classification: Social Worker - 104100000X
  • Entity Type: Organization
  • Address: 301 DAPHNE DR
    FAIRFIELD, CA
    ZIP 94533
  • Phone: (707) 689-1774

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NPI Details

716 ESTABLISHMENT is a social worker in Fairfield, CA. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. 716 ESTABLISHMENT NPI is 1205636685. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

301 DAPHNE DR
FAIRFIELD, CA
ZIP 94533-114
Phone: (707) 689-1774

The provider's authorized official is Salina Smith .
The authorized official title is Coo and has the following contact phone number (707) 689-1774.

The enumeration date for this NPI number is 3/15/2025 and was last updated on 3/15/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial WorkerYes
2177F00000XLodgingNo
3251B00000XCase ManagementNo
4251K00000XPublic Health or WelfareNo
5253Z00000XIn Home Supportive CareNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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