Provider Demographics
NPI:1427557131
Name:CRANE-RUSS, MEGHANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MEGHANN
Middle Name:
Last Name:CRANE-RUSS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:MEGHANN
Other - Middle Name:
Other - Last Name:CRANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2023 N ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95811-4240
Mailing Address - Country:US
Mailing Address - Phone:916-426-9340
Mailing Address - Fax:
Practice Address - Street 1:2023 N ST STE 100
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95811-4240
Practice Address - Country:US
Practice Address - Phone:916-426-9340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-08
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW769701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical