Provider Demographics
NPI:1649541897
Name:SEHR, DENA PICZ (LCSW)
Entity type:Individual
Prefix:MS
First Name:DENA
Middle Name:PICZ
Last Name:SEHR
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 1:5740 WINDMILL WAY STE 11
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-1379
Mailing Address - Country:US
Mailing Address - Phone:916-905-1661
Mailing Address - Fax:916-905-1661
Practice Address - Street 1:5740 WINDMILL WAY STE 11
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-1379
Practice Address - Country:US
Practice Address - Phone:916-905-1661
Practice Address - Fax:916-905-1661
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-19
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW315101041C0700X, 104100000X
CALCSW698061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA892672OtherMEDI-CAL