Provider Demographics
NPI:1063571156
Name:WINKELS, ROBERT RAY (LCSW LICENSE # 28202)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:RAY
Last Name:WINKELS
Suffix:
Gender:M
Credentials:LCSW LICENSE # 28202
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1695
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95965-1695
Mailing Address - Country:US
Mailing Address - Phone:530-518-8011
Mailing Address - Fax:
Practice Address - Street 1:2854 OLIVE HWY STE E
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95966-6112
Practice Address - Country:US
Practice Address - Phone:530-712-9203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA282021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA28202OtherBOARD OF BEHAVIORAL SCIENCE