Search › California › 104100000X
Jeffrey Puckett, ASW
NPI 1366950172 · on the registry since 2018
Practice
- Address
- 2245 Challenger Way
Santa Rosa, CA 95407 - Phone
- (707) 565-4993
- Organisation at this address
- County Of Sonoma
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 31
Additional practice sites
- 1400 N Norma St, Ridgecrest, CA
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 171M00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California