MEDICARE: TRICIA ANN HEINRICH M.S.W., ASW

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	LCSW89456	CA
2	104100000X	Social Worker	34989	CA
3	101YM0800X	Mental Health Counselor	ASW19447	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5882	OTHER	CA	MEDI-CAL

General Provider Information

NPI Number	:	1760585939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRICIA ANN HEINRICH M.S.W., ASW

Provider Business Mailing Address
First Line	:	720 WOODSIDE LN E APT 4
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95825-4325
Country	:	US
Telephone Number	:	916-924-9847
Fax Number	:

Provider Business Practice Location Address
First Line	:	720 WOODSIDE LN E APT 4
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95825-4325
Country	:	US
Telephone Number	:	916-924-9847
Fax Number	:

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

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	03/04/2026

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