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NPI Code Detail

MEDICARE: SARA SEBERGER

MEDICARE:   SARA  SEBERGER
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 Worker112222CA

General Provider Information

NPI Number : 1780291120
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA SEBERGER
Provider Business Mailing Address
First Line : PO BOX 6378
Second Line :
City : FOLSOM
State : CA
Zip : 95763-6378
Country : US
Telephone Number : 707-318-2263
Fax Number :
Provider Business Practice Location Address
First Line : 4359 TOWN CENTER BLVD STE 311
Second Line :
City : EL DORADO HILLS
State : CA
Zip : 95762-7113
Country : US
Telephone Number : 916-530-2065
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2020
Last Update Date : 11/10/2025

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Directions to “ SARA SEBERGER ” Practice Location

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