Provider Demographics
NPI:1013797539
Name:GOINS, CONSTANCE EUGENIA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CONSTANCE
Middle Name:EUGENIA
Last Name:GOINS
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 1:7706 ABALINE WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-4227
Mailing Address - Country:US
Mailing Address - Phone:916-968-3902
Mailing Address - Fax:
Practice Address - Street 1:7706 ABALINE WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-4227
Practice Address - Country:US
Practice Address - Phone:916-968-3902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1181001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical