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REDWOOD COMMUNITY SERVICES, INC
NPI 1366709461
Clinic/Center - Rehabilitation, Substance Use Disorder in Lakeport, CA

Active since April 13, 2012
154 S MAIN ST, LAKEPORT, CA 95453(707) 263-0372 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 10, 2020, Feb 12, 2020, Jan 13, 2020 and 7 more (10 updates tracked since 2016).

About Redwood Community Services, Inc NPPES

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

REDWOOD COMMUNITY SERVICES, INC (NPI 1366709461) is a healthcare organization registered as a rehabilitation, substance use disorder in Lakeport, California and active in the NPI registry since April 2012. The organization maintains 2 additional practice locations and lists Victoria Jerusha Kelly, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1366709461
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameREDWOOD COMMUNITY SERVICES, INC
Location Address154 S MAIN STLakeport, CA 95453-5017
Mailing AddressPo Box 2077Ukiah, CA 95482-2077 · (707) 467-2010 · Fax (707) 467-2009
Phone(707) 263-0372
Organization SubpartYesParent: Redwood Community Services, Inc.
Authorized OfficialVictoria Jerusha KellyChief Executive Officer · (707) 467-2010
Enumeration DateApril 13, 2012
Last NPPES UpdateDecember 10, 202010 updates tracked since enumeration
NPPES CertifiedDecember 9, 2020
✔ NPI 1366709461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedRehabilitation, Substance Use Disorder UnitTaxonomy 276400000X
154 S MAIN ST, Lakeport, CA 95453
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Secondary Practice Locations 2

Location 1390 N Forbes StLakeport, CA 95453-4724 · Phone (707) 263-3116 · Fax (707) 263-3117
Location 2320 1st StLakeport, CA 95453 · Phone (707) 263-3116 · Fax (707) 263-3117

Other Identifiers 1

Other171721CA · Caloms #

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SABRINA MCLERAN
Case Manager/Care Coordinator
154 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 467-2010
ANGELINA FAGUNDO
Case Manager/Care Coordinator
154 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 467-2010
ISRAEL GRIFFIN
Rehabilitation Practitioner
154 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 994-5486

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 Redwood Community Services, Inc's NPI number?

The NPI number for Redwood Community Services, Inc is 1366709461. It was assigned to this organization in the NPPES registry on April 13, 2012.

Where is Redwood Community Services, Inc located?

Redwood Community Services, Inc is located at 154 S Main St, Lakeport, CA 95453. The listed phone number is (707) 263-0372.

What is Redwood Community Services, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Redwood Community Services, Inc was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.