Provider Demographics
NPI:1396358248
Name:ASSENZA, DANIELLE HELENA (MA)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:HELENA
Last Name:ASSENZA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3406 AMERICAN RIVER DR STE D
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95864-5746
Mailing Address - Country:US
Mailing Address - Phone:919-905-0589
Mailing Address - Fax:
Practice Address - Street 1:3406 AMERICAN RIVER DR STE D
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95864-5746
Practice Address - Country:US
Practice Address - Phone:919-905-0589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95659101YM0800X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health