Healthcare Provider Details

I. General information

NPI: 1124873807
Provider Name (Legal Business Name): MEIGHAN LEIGH EINSEL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2024
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3336 BRADSHAW RD STE 340
SACRAMENTO CA
95827-2600
US

IV. Provider business mailing address

9143 WILLOWBERRY WAY
ELK GROVE CA
95758-8044
US

V. Phone/Fax

Practice location:
  • Phone: 916-234-6316
  • Fax:
Mailing address:
  • Phone: 916-544-2990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number130352
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: