MEDICARE: SARA BELEZZUOLI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	ASW139028	CA

General Provider Information

NPI Number	:	1023942216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA BELEZZUOLI

Provider Business Mailing Address
First Line	:	1134 E CHAMPLAIN AVE STE 101 BOX 131
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	911 POLLASKY AVE
Second Line	:
City	:	CLOVIS
State	:	CA
Zip	:	93612-2277
Country	:	US
Telephone Number	:	559-428-3014
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/11/2026

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Directions to “ SARA BELEZZUOLI ” Practice Location

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