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RAEVAN MONICA SHEPHERD ASW
NPI 1053812883
Social Worker - Clinical in Lower Lake, CA

Active since February 27, 2018
9055 HWY 53, LOWER LAKE, CA 95422(707) 994-7090 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 7, 2025, Jan 10, 2019, Feb 27, 2018 (3 updates tracked since 2018).

About Raevan Monica Shepherd Asw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAEVAN MONICA SHEPHERD ASW (NPI 1053812883) is an individual clinical provider in Lower Lake, California, licensed in California (118333) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1053812883
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameRAEVAN MONICA SHEPHERDCredential: ASW
Location Address9055 HWY 53Lower Lake, CA 95422-8458
Mailing Address2681 Lakeshore Blvd Apt 7Lakeport, CA 95453-6971 · (707) 295-2304
Phone(707) 994-7090
Sole ProprietorNo
Enumeration DateFebruary 27, 2018
Last NPPES UpdateOctober 7, 20253 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
✔ NPI 1053812883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 118333
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
9055 HWY 53, Lower Lake, CA 95422
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raevan Shepherd's NPI number?

The NPI number for Raevan Shepherd is 1053812883. It was assigned to this individual provider in the NPPES registry on February 27, 2018.

Where is Raevan Shepherd located?

Raevan Shepherd practices at 9055 Hwy 53, Lower Lake, CA 95422. The listed phone number is (707) 994-7090.

What is Raevan Shepherd's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Raevan Shepherd was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.