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

Raevan Monica Shepherd, ASW

Individual provider Clinical Social Worker · NPI 1053812883

Raevan Monica Shepherd, ASW is a Clinical Social Worker in Lower Lake, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

9055 Hwy 53
Lower Lake, CA 95422-8458
Phone: (707) 994-7090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 118333 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1053812883
Entity typeIndividual (Type 1)
GenderFemale
Credentials ASW
Sole proprietorNo
NPI enumeratedFebruary 27, 2018
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

Other providers in Lower Lake