Provider Demographics
NPI:1962994053
Name:GILBERT, REBECCA RANZ
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:RANZ
Last Name:GILBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 PAGE ST STE B
Mailing Address - Street 2:
Mailing Address - City:COTATI
Mailing Address - State:CA
Mailing Address - Zip Code:94931-4532
Mailing Address - Country:US
Mailing Address - Phone:707-800-7568
Mailing Address - Fax:833-973-0363
Practice Address - Street 1:7 PAGE ST STE B
Practice Address - Street 2:
Practice Address - City:COTATI
Practice Address - State:CA
Practice Address - Zip Code:94931-4532
Practice Address - Country:US
Practice Address - Phone:707-800-7568
Practice Address - Fax:833-973-0363
Is Sole Proprietor?:No
Enumeration Date:2018-06-04
Last Update Date:2025-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA390200000X
CA1297981041C0700X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No171M00000XOther Service ProvidersCase Manager/Care Coordinator