Provider Demographics
NPI:1023276441
Name:DANIEL, SARAH ANN (LCSWA)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:ANN
Last Name:DANIEL
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 TREASA DRIVE
Mailing Address - Street 2:
Mailing Address - City:BATTLEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27809-9780
Mailing Address - Country:US
Mailing Address - Phone:252-822-1097
Mailing Address - Fax:252-823-2616
Practice Address - Street 1:721 TREASA DRIVE
Practice Address - Street 2:
Practice Address - City:BATTLEBORO
Practice Address - State:NC
Practice Address - Zip Code:27809-9780
Practice Address - Country:US
Practice Address - Phone:252-822-1097
Practice Address - Fax:252-752-2971
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
NCP0068221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor