MEDICARE: ERIKA FEYEREISEN

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	ASW135764	CA

General Provider Information

NPI Number	:	1366375016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA FEYEREISEN

Provider Business Mailing Address
First Line	:	632 DITTMAR WAY
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95819-2510
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7560 SHELDON RD
Second Line	:
City	:	ELK GROVE
State	:	CA
Zip	:	95758-7345
Country	:	US
Telephone Number	:	916-250-1627
Fax Number	:	916-250-1627

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

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “ ERIKA FEYEREISEN ” Practice Location

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