1. Home
  2. Directory
  3. California
  4. Lakeport
  5. Peer Specialist
  6. NPI Profile

RAVON WILCZEWSKI
NPI 1750112934
Peer Specialist in Lakeport, CA

Active since August 09, 2024
150 S MAIN ST, LAKEPORT, CA 95453(707) 994-5486 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2024, Aug 9, 2024 (2 updates tracked since 2024).

About Ravon Wilczewski NPPES

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

RAVON WILCZEWSKI (NPI 1750112934) is an individual peer specialist in Lakeport, California and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1750112934
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameRAVON WILCZEWSKI
Location Address150 S MAIN STLakeport, CA 95453-5017
Mailing AddressPo Box 2077Ukiah, CA 95482-2077 · (707) 467-2010
Phone(707) 994-5486
Sole ProprietorNo
Enumeration DateAugust 9, 2024
Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1750112934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
150 S MAIN ST, Lakeport, CA 95453
Open in Google Maps ↗

Other Providers at the Same Location NPPES 8

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

MESSINA SALAZAR
Rehabilitation Practitioner
150 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 994-5486
JOVANY CARRILLO
Rehabilitation Practitioner
150 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 467-2010
REDWOOD COMMUNITY SERVICES, INC.
Community/Behavioral Health
150 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 994-5486
KEITH LOUTON
Day Training/Habilitation Specialist
150 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 994-5486
JESSICA DARNELL
Day Training/Habilitation Specialist
150 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 467-2010
SARAH GOMORA
Rehabilitation Practitioner
150 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 994-5486
TIFFANY MONTIEL
Case Manager/Care Coordinator
150 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 994-5486
MERANDA POGROSZEWSKI
Day Training/Habilitation Specialist
150 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 467-2010

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 Ravon Wilczewski's NPI number?

The NPI number for Ravon Wilczewski is 1750112934. It was assigned to this individual provider in the NPPES registry on August 9, 2024.

Where is Ravon Wilczewski located?

Ravon Wilczewski practices at 150 S Main St, Lakeport, CA 95453. The listed phone number is (707) 994-5486.

What is Ravon Wilczewski's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Ravon Wilczewski was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.