Healthcare Provider Details

I. General information

NPI: 1649541897
Provider Name (Legal Business Name): DENA PICZ SEHR LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2012
Last Update Date: 10/25/2022
Certification Date: 10/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5740 WINDMILL WAY STE 11
CARMICHAEL CA
95608-1379
US

IV. Provider business mailing address

5740 WINDMILL WAY STE 11
CARMICHAEL CA
95608-1379
US

V. Phone/Fax

Practice location:
  • Phone: 916-905-1661
  • Fax: 916-905-1661
Mailing address:
  • Phone: 916-905-1661
  • Fax: 916-905-1661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW31510
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberASW31510
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW69806
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: