Healthcare Provider Details

I. General information

NPI: 1952413262
Provider Name (Legal Business Name): JENNIFER LYNN REIMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 03/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9343 TECH CENTER DR STE 200
SACRAMENTO CA
95826-2592
US

IV. Provider business mailing address

9343 TECH CENTER DR STE 200
SACRAMENTO CA
95826-2592
US

V. Phone/Fax

Practice location:
  • Phone: 916-600-1926
  • Fax: 916-649-7158
Mailing address:
  • Phone: 916-600-1926
  • Fax: 916-649-7158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS 28347
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: