| Lions Heart Counseling Licensed Clinical Social Worker, Inc | |
|
25 Cadillac Dr #132 Sacramento CA 95825 | |
| (916) 494-9218 | |
| (916) 282-1698 |
| Full Name | Lions Heart Counseling Licensed Clinical Social Worker, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 25 Cadillac Dr #132, Sacramento, California |
| Authorized Official Name and Position | James Meyer (PRESIDENT) |
| Authorized Official Contact | 9164949218 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lions Heart Counseling Licensed Clinical Social Worker, Inc 25 Cadillac Dr #132 Sacramento CA 95825 Ph: (916) 494-9218 | Lions Heart Counseling Licensed Clinical Social Worker, Inc 25 Cadillac Dr #132 Sacramento CA 95825 Ph: (916) 494-9218 |
| NPI Number | 1003367350 |
|---|---|
| Provider Enumeration Date | 10/21/2016 |
| Last Update Date | 11/16/2021 |
| Certification Date | 11/16/2021 |
| Medicare PECOS PAC ID | 8426339953 |
|---|---|
| Medicare Enrollment ID | O20161221001346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003367350 | NPI | - | NPPES |
| 1649478736 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 62672 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 62672 (California) | Primary |
| Provider Name | James Harvey Meyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649478736 PECOS PAC ID: 4284945247 Enrollment ID: I20150617000673 |
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