Provider Demographics
NPI:1316164825
Name:SACRAMENTO CITY UNIFIED SCHOOL DISTRICT
Entity type:Organization
Organization Name:SACRAMENTO CITY UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STUDENT & FAMILY COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHWEKY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:916-643-9413
Mailing Address - Street 1:5735 47TH AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95824-4528
Mailing Address - Country:US
Mailing Address - Phone:916-643-9413
Mailing Address - Fax:916-643-9481
Practice Address - Street 1:5735 47TH AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95824-4528
Practice Address - Country:US
Practice Address - Phone:916-752-3653
Practice Address - Fax:916-752-3653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health