Healthcare Provider Details

I. General information

NPI: 1013040187
Provider Name (Legal Business Name): JENNIFER EILEEN CROSETTI M.S.W
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3840 ROSIN CT STE 100
SACRAMENTO CA
95834-1645
US

IV. Provider business mailing address

310 BONITA ST
ROSEVILLE CA
95678
US

V. Phone/Fax

Practice location:
  • Phone: 916-926-1585
  • Fax:
Mailing address:
  • Phone: 916-531-0609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: