Healthcare Provider Details

I. General information

NPI: 1831385681
Provider Name (Legal Business Name): LAKEISHA SHAUNDELL PITTS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. LAKEISHA SHAUNDELL BLACKS

II. Dates (important events)

Enumeration Date: 09/14/2007
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4320 AUBURN BLVD 1200
SACRAMENTO CA
95841-4166
US

IV. Provider business mailing address

7868 WHITE TAIL WAY
SACRAMENTO CA
95823-4498
US

V. Phone/Fax

Practice location:
  • Phone: 916-418-0828
  • Fax: 916-418-0838
Mailing address:
  • Phone: 916-730-4969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number61616
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: