Healthcare Provider Details

I. General information

NPI: 1609701200
Provider Name (Legal Business Name): CHILD ABUSE PREVENTION COUNCIL OF SACRAMENTO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 ROSEVILLE RD STE 201
NORTH HIGHLANDS CA
95660-5156
US

IV. Provider business mailing address

4700 ROSEVILLE RD STE 201
NORTH HIGHLANDS CA
95660-5156
US

V. Phone/Fax

Practice location:
  • Phone: 916-244-1900
  • Fax:
Mailing address:
  • Phone: 916-244-1900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. CAMILLE BAILEY
Title or Position: CHIEF PROGRAM OFFICER
Credential: LCSW
Phone: 916-244-1900