MEDICARE: MR. ERIC MICHAEL BRANMAN 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	101YM0800X	Mental Health Counselor	22870	CA
2	1041C0700X	Clinical Social Worker	22870	CA

General Provider Information

NPI Number	:	1902912694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ERIC MICHAEL BRANMAN LCSW

Provider Business Mailing Address
First Line	:	6615 VALLEY HI DR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95823-4601
Country	:	US
Telephone Number	:	916-681-6300
Fax Number	:	916-681-6354

Provider Business Practice Location Address
First Line	:	8260 LONGLEAF DR
Second Line	:
City	:	ELK GROVE
State	:	CA
Zip	:	95758-1322
Country	:	US
Telephone Number	:	209-274-4911
Fax Number	:

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

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	03/14/2023

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