Provider Demographics
NPI:1396836417
Name:LEINIO, EDWINA PRICE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:EDWINA
Middle Name:PRICE
Last Name:LEINIO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 GLENDALE LANE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-2454
Mailing Address - Country:US
Mailing Address - Phone:916-779-2416
Mailing Address - Fax:916-641-9599
Practice Address - Street 1:2330 GLENDALE LANE
Practice Address - Street 2:SUITE 100 FAMILIES FIRST
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-2454
Practice Address - Country:US
Practice Address - Phone:916-779-2416
Practice Address - Fax:916-641-9599
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS11079104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker