Provider Demographics
NPI:1225483159
Name:SACKHEIM, ARIANE
Entity Type:Individual
Prefix:
First Name:ARIANE
Middle Name:
Last Name:SACKHEIM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 E COLORADO AVE
Mailing Address - Street 2:APT 43
Mailing Address - City:URBANA
Mailing Address - State:IL
Mailing Address - Zip Code:61801-6361
Mailing Address - Country:US
Mailing Address - Phone:916-337-9844
Mailing Address - Fax:
Practice Address - Street 1:9240 CORINTHIAN CIR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95826-2556
Practice Address - Country:US
Practice Address - Phone:916-337-9844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-28
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker