Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffrey Paul Puckett, ASW

Individual provider Case Manager/Care Coordinator · NPI 1366950172

Jeffrey Paul Puckett, ASW is a Case Manager/Care Coordinator in Santa Rosa, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

2245 Challenger Way
Santa Rosa, CA 95407-5418
Phone: (707) 565-4993
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1400 N Norma St, Ridgecrest, CA 93555-2575 — (760) 499-7406

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 122229 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1366950172
Entity typeIndividual (Type 1)
GenderMale
Credentials ASW
Sole proprietorNo
NPI enumeratedJanuary 15, 2018
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025

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