Healthcare Provider Details

I. General information

NPI: 1952187262
Provider Name (Legal Business Name): BEN EDWARD SAVELLI LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2023
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2014 CAPITOL AVE STE 100
SACRAMENTO CA
95811-4244
US

IV. Provider business mailing address

2014 CAPITOL AVE STE 100
SACRAMENTO CA
95811-4244
US

V. Phone/Fax

Practice location:
  • Phone: 530-562-7878
  • Fax:
Mailing address:
  • Phone: 530-414-7492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number140922
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number13550-C
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: