Healthcare Provider Details

I. General information

NPI: 1477326270
Provider Name (Legal Business Name): DREW COLEMAN BUGGS ACSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2023
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 X ST
SACRAMENTO CA
95818-2200
US

IV. Provider business mailing address

1400 X ST
SACRAMENTO CA
95818-2200
US

V. Phone/Fax

Practice location:
  • Phone: 916-738-7400
  • Fax:
Mailing address:
  • Phone: 916-783-7400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW128675
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: