Healthcare Provider Details
I. General information
NPI: 1447520184
Provider Name (Legal Business Name): GAIL MARIE ERLANDSON M.A., A.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/11/2012
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3810 ROSIN CT STE 180
SACRAMENTO CA
95834-1656
US
IV. Provider business mailing address
3810 ROSIN CT STE 180
SACRAMENTO CA
95834-1656
US
V. Phone/Fax
- Phone: 916-283-8280
- Fax: 916-283-8259
- Phone: 916-283-8280
- Fax: 916-283-8259
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: