Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB BURTON WICKENHEISER, L.C.S.W.
Deactivated Sole ProprietorJACOB BURTON WICKENHEISER, L.C.S.W. is a Clinical Social Worker healthcare provider located in SACRAMENTO, California. NPI 1205958980 is deactivated in the NPPES registry. Verify at CMS.
Clinical Social Worker · SACRAMENTO, CA
This NPI has been deactivated.
The record was deactivated on October 24, 2013.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1205958980
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 4, 2007 (6.5561643835616 yrs)
- Last Updated
- Sep 22, 2022
- Deactivated
- Oct 24, 2013
- License
-
26297 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1526 WATERWHEEL DRSACRAMENTO, CA, 958332390Browse CA providers · Browse ZIP 95833
- Phone
- 5107032113
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in SACRAMENTO, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. NATALIE ROSE DAYLAMI | LCSW | 1699774737 |
| JODIE LYNN SAKARIS | LCSW | 1447233630 |
| MRS. HOLLY D BLEASDALE | LCSW | 1568445690 |
| LINDA G BOYERS | MSW | 1306820055 |
| MS. MARLENE RICE | MSW | 1235114885 |
| SHARON REA ZONE | LCSW | 1831174218 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.