Provider Demographics
NPI:1457238867
Name:NIELSEN, DANNAH
Entity type:Individual
Prefix:
First Name:DANNAH
Middle Name:
Last Name:NIELSEN
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2747 LINDEN RD
Mailing Address - Street 2:
Mailing Address - City:WEST SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95691-4258
Mailing Address - Country:US
Mailing Address - Phone:916-375-7890
Mailing Address - Fax:
Practice Address - Street 1:2747 LINDEN RD
Practice Address - Street 2:
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95691-4258
Practice Address - Country:US
Practice Address - Phone:916-375-7890
Practice Address - Fax:916-375-7890
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchoolGroup - Multi-Specialty