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NPI Code Detail

MEDICARE: ANDREA PANNELL

MEDICARE: ANDREA PANNELL
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 WorkerASW135593CA

General Provider Information

NPI Number : 1972462158
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA PANNELL
Provider Business Mailing Address
First Line : 7415 HENRIETTA DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95822-5142
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7415 HENRIETTA DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95822-5142
Country : US
Telephone Number : 916-520-7399
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2026
Last Update Date : 01/21/2026

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Directions to “ ANDREA PANNELL ” Practice Location

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