MEDICARE: NADINE MEJIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCSW91132	CA

General Provider Information

NPI Number	:	1144655150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADINE MEJIA

Provider Business Mailing Address
First Line	:	PO BOX 215414
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95821-1414
Country	:	US
Telephone Number	:	559-600-6067
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 215414
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95821-1414
Country	:	US
Telephone Number	:	559-600-6067
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2013
Last Update Date	:	10/30/2024

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Directions to “ NADINE MEJIA ” Practice Location

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