Daniel Lizardo

Individual provider Active NPI Social Worker · Rio Linda, CA

NPI 1891242632 · NPPES record last updated Aug 9, 2018

Key facts

NPI
1891242632
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
ASW84388 (CA)
Practice address
505 M St
Rio Linda, CA 95673
Phone
(916) 287-4067
NPI assigned
Sep 9, 2016
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
ASW84388CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sacramento Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Student in an Organized Health Care Education/Training Program 390200000X
Social Worker 104100000X ASW84388 CA Yes

Addresses

Primary practice location

505 M St
Rio Linda, CA 95673

Mailing address

505 M St
Rio Linda, CA 95673-2218
Phone (916) 287-4067

Other providers in Rio Linda, CA

All providers in Rio Linda, CA · Social Worker in California

Sources for this page

Verify at the official NPI Registry.