MEDICARE: JULIA CRAIN MSW

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	390200000X	Student in an Organized Health Care Education/Training Program		CA
2	104100000X	Social Worker	114397	CA

General Provider Information

NPI Number	:	1396376364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA CRAIN MSW

Provider Business Mailing Address
First Line	:	3701 BRANCH CENTER DRIVE #1105A
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95827-1644
Country	:	US
Telephone Number	:	916-662-2756
Fax Number	:

Provider Business Practice Location Address
First Line	:	3701 BRANCH CENTER DRIVE #1105A
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95827-1644
Country	:	US
Telephone Number	:	916-201-0342
Fax Number	:

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

Provider Enumeration Date	:	01/29/2020
Last Update Date	:	06/15/2023

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