Provider Demographics
NPI:1376110700
Name:SAELEE, FARM LIO (MSW, ASW)
Entity Type:Individual
Prefix:MS
First Name:FARM
Middle Name:LIO
Last Name:SAELEE
Suffix:
Gender:F
Credentials:MSW, ASW
Other - Prefix:MS
Other - First Name:FAHM
Other - Middle Name:L
Other - Last Name:SAELEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1104 EVELYN LN APT C
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95864-3737
Mailing Address - Country:US
Mailing Address - Phone:916-504-1170
Mailing Address - Fax:
Practice Address - Street 1:500 JEFFERSON BLVD # B
Practice Address - Street 2:
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95605-2350
Practice Address - Country:US
Practice Address - Phone:916-403-2970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-04
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA102536104100000X
CA171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator