MEDICARE: THERESA DEL BIAGGIO ACSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	101YM0800X	Mental Health Counselor	CA
2	1041C0700X	Clinical Social Worker
3	104100000X	Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881186542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THERESA DEL BIAGGIO ACSW

Provider Business Mailing Address
First Line	:	5000 SAN JUAN AVE
Second Line	:
City	:	FAIR OAKS
State	:	CA
Zip	:	95628-4356
Country	:	US
Telephone Number	:	916-613-8867
Fax Number	:

Provider Business Practice Location Address
First Line	:	2023 VINE ST STE 105
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-7124
Country	:	US
Telephone Number	:	916-581-6272
Fax Number	:

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

Provider Enumeration Date	:	05/30/2018
Last Update Date	:	11/20/2025

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