Provider Demographics
NPI:1467799031
Name:ISLAND, ADREENA CHRISTINE (LCSW, EDD)
Entity type:Individual
Prefix:DR
First Name:ADREENA
Middle Name:CHRISTINE
Last Name:ISLAND
Suffix:
Gender:F
Credentials:LCSW, EDD
Other - Prefix:
Other - First Name:ADREENA
Other - Middle Name:CHRISTINE
Other - Last Name:LOWE-ISLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:317 12TH ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95814-0900
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:161 ALDEBURGH CIR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-2543
Practice Address - Country:US
Practice Address - Phone:916-454-4243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-15
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA752311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical