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NPI Code Detail

MEDICARE: MARIA ANDREI MININA LCSW

MEDICARE: MARIA ANDREI MININA 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
11041C0700XClinical Social WorkerLCSW124632CA
2101YM0800XMental Health CounselorCA

General Provider Information

NPI Number : 1407480676
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA ANDREI MININA LCSW
Provider Business Mailing Address
First Line : PO BOX 255228
Second Line :
City : SACRAMENTO
State : CA
Zip : 95865-5228
Country : US
Telephone Number : 800-470-0071
Fax Number : 916-854-6769
Provider Business Practice Location Address
First Line : 2951 BENEFIT WAY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-1272
Country : US
Telephone Number : 916-285-8100
Fax Number : 916-285-8115
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2020
Last Update Date : 01/12/2026

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Directions to “ MARIA ANDREI MININA LCSW” Practice Location

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