Provider Demographics
NPI:1285753368
Name:RABE, MICHAEL NEAL (LCSW)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:NEAL
Last Name:RABE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 PENINSULA DR # 204
Mailing Address - Street 2:
Mailing Address - City:LAKE ALMANOR
Mailing Address - State:CA
Mailing Address - Zip Code:96137-9658
Mailing Address - Country:US
Mailing Address - Phone:916-622-0057
Mailing Address - Fax:
Practice Address - Street 1:401 PENINSULA DR # 204
Practice Address - Street 2:
Practice Address - City:LAKE ALMANOR
Practice Address - State:CA
Practice Address - Zip Code:96137
Practice Address - Country:US
Practice Address - Phone:916-622-0057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA215391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical