Geoffrey Sadao Prenter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 27252 Issued in CA

Practice address

3331 Power Inn Rd Ste 180
Sacramento, CA 95826-3889

Phone

(916) 874-3663

NPI assigned

Apr 16, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1093930018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 DEVRI CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958332675",
            "telephone_number": "916-912-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 POWER INN RD STE 180",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263889",
            "telephone_number": "916-874-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENTER",
        "first_name": "GEOFFREY",
        "middle_name": "SADAO",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 27252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Imaging Solutions Norcal LLC
• Premier Medical Supply, Inc.
• Premier Pharmaceutical Services Inc
• Premier Pharmacy Norcal LLC (Premier Pharmacy Solutions Sacramento)
• Prenatal Diagnosis of Northern California Medical Group Inc.
• Robert Alexander Prentice, PH.D.
• Christopher Stewart Prentiss, RADT -I
• Preparing People for Success
• Preparing People for Success
• Preparingpeopleforsuccess

• Clinical Social Worker in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.