| Cornerstone Licensed Clinical Social Worker, Inc. | |
|
3810 Broadway Sacramento CA 95817-3302 | |
| (916) 204-1447 | |
| Not Available |
| Full Name | Cornerstone Licensed Clinical Social Worker, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3810 Broadway, Sacramento, California |
| Authorized Official Name and Position | Tatiana Starr Daniels (OWNER) |
| Authorized Official Contact | 9165147073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Licensed Clinical Social Worker, Inc. 2443 Fair Oaks Blvd # 1060 Sacramento CA 95825-7684 Ph: (916) 204-1447 | Cornerstone Licensed Clinical Social Worker, Inc. 3810 Broadway Sacramento CA 95817-3302 Ph: (916) 204-1447 |
| NPI Number | 1265305759 |
|---|---|
| Provider Enumeration Date | 09/29/2025 |
| Last Update Date | 10/06/2025 |
| Certification Date | 10/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265305759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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