Individual provider · Type 1 NPI

Coenita Marie ST Mary

Clinical Social Worker · Sacramento, CA

NPI number 1679250856 Active

Practice location

600 Bercut Dr
Sacramento, CA 95811-0131

Call (916) 440-1500 Map

Fax (916) 440-1514

Mailing address

3841 N Freeway Blvd Ste 245
Sacramento, CA 95834-1969

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XASW133861 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1679250856

Coenita Marie ST Mary's National Provider Identifier is 1679250856, issued on Jun 29, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sacramento, CA. The record was last updated on Oct 24, 2025.