Healthcare Provider Details

I. General information

NPI: 1053004853
Provider Name (Legal Business Name): ROBERT EICHAR MSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2023
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2965 PARELLA CT
WEST SACRAMENTO CA
95691-5514
US

IV. Provider business mailing address

2965 PARELLA CT
WEST SACRAMENTO CA
95691-5514
US

V. Phone/Fax

Practice location:
  • Phone: 916-232-2996
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number138678
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: