Active NPI
Darryl Eugene Sanders, ASW
- Clinical Social Worker
- Auburn, CA
National Provider Identifier
1669697165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW89787
- Practice address
- 11434 Ste 200 B Ave
Auburn, CA 95603-2506 - Phone
- (530) 886-2928
- Fax
- (530) 889-7293
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW 21607 | CA | |
| Clinical Social Worker | 1041C0700X | ASW89787 | CA | Primary |
Addresses
Primary practice location
11434 Ste 200 B Ave
Auburn, CA 95603-2506
Mailing address
11434 B Ave Ste 200
Auburn, CA 95603-2603
Phone (530) 886-2928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW 21607 | CA | MD | Mental Health Counselor |
| ASW89787 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1669697165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11434 B AVE STE 200",
"city": "AUBURN",
"state": "CA",
"postal_code": "956032603",
"telephone_number": "530-886-2928",
"fax_number": "530-889-7293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11434 STE 200 B AVE",
"city": "AUBURN",
"state": "CA",
"postal_code": "956032506",
"telephone_number": "530-886-2928",
"fax_number": "530-889-7293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "DARRYL",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"credential": "ASW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2024-07-29",
"certification_date": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW 21607",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW89787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.