Organization Active NPI

Bonsai Counseling & Psychotherapy, a Licensed Clinical Social Worker PC

  • Clinical Social Worker
  • Sacramento, CA
National Provider Identifier
1467307017
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BONSAI COUNSELING & PSYCHOTHERAPY, A LICENSED CLINICAL SOCIAL WORKER PC
Practice address
7471 Red Willow St
Sacramento, CA 95822-5127
Phone
(916) 520-3041
NPI assigned
Feb 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Authorized official

Name
Damian Saul Sandoval, LCSWNPI 1255706263
Title
Ceo
Phone
(805) 701-3009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

7471 Red Willow St
Sacramento, CA 95822-5127

Mailing address

8300 Delta Shores Cir S #235
Ste 120
Sacramento, CA 95832-9114

National Provider Directory

National Provider Directory

Locations

8300 Delta Shores Cir S
Ste 120
Sacramento, CA 95832

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1772150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1467307017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 DELTA SHORES CIR S #235",
            "address_2": "STE 120",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958329114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7471 RED WILLOW ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958225127",
            "telephone_number": "916-520-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONSAI COUNSELING & PSYCHOTHERAPY, A LICENSED CLINICAL SOCIAL WORKER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-27",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "DAMIAN",
        "authorized_official_middle_name": "SAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-701-3009",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.