Healthcare Provider Details

I. General information

NPI: 1477756955
Provider Name (Legal Business Name): ELIZABETH ALYCE ENGLISH LCSW, CADC II, SAP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2007
Last Update Date: 11/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 POWER INN RD STE C
SACRAMENTO CA
95826-3826
US

IV. Provider business mailing address

PO BOX 5967
SACRAMENTO CA
95817-0967
US

V. Phone/Fax

Practice location:
  • Phone: 916-647-5343
  • Fax:
Mailing address:
  • Phone: 916-502-6773
  • Fax: 916-451-8950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0450315
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLCSW 20473
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number20473
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: