Provider Demographics
NPI:1700082195
Name:UNGER, NINA MARIA (RN, LCSW)
Entity Type:Individual
Prefix:MS
First Name:NINA
Middle Name:MARIA
Last Name:UNGER
Suffix:
Gender:F
Credentials:RN, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2011 P ST STE 303
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95811-5225
Mailing Address - Country:US
Mailing Address - Phone:916-431-3164
Mailing Address - Fax:
Practice Address - Street 1:2011 P ST STE 303
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95814-5225
Practice Address - Country:US
Practice Address - Phone:916-431-3164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-22
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA231591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical