Provider Demographics
NPI:1134839822
Name:NOTICING GROWTH A LICENSED CLINICAL SOCIAL WORKER PC
Entity type:Organization
Organization Name:NOTICING GROWTH A LICENSED CLINICAL SOCIAL WORKER PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGHANN
Authorized Official - Middle Name:
Authorized Official - Last Name:CRANE-RUSS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:916-426-9340
Mailing Address - Street 1:2001 N ST STE 203A
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95811-4237
Mailing Address - Country:US
Mailing Address - Phone:916-426-9340
Mailing Address - Fax:916-229-6075
Practice Address - Street 1:2001 N ST STE 203A
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95811-4237
Practice Address - Country:US
Practice Address - Phone:916-426-9340
Practice Address - Fax:916-229-6075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-02
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty