MEDICARE: MS. EDWINA PRICE LEINIO LCSW

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	104100000X	Social Worker	LCS11079	CA

General Provider Information

NPI Number	:	1396836417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EDWINA PRICE LEINIO LCSW

Provider Business Mailing Address
First Line	:	2330 GLENDALE LANE
Second Line	:	SUITE 100
City	:	SACRAMENTO
State	:	CA
Zip	:	95825-2454
Country	:	US
Telephone Number	:	916-779-2416
Fax Number	:	916-641-9599

Provider Business Practice Location Address
First Line	:	2330 GLENDALE LANE
Second Line	:	SUITE 100 FAMILIES FIRST
City	:	SACRAMENTO
State	:	CA
Zip	:	95825-2454
Country	:	US
Telephone Number	:	916-779-2416
Fax Number	:	916-641-9599

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

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	07/08/2007

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