Provider Demographics
NPI:1366973729
Name:SAWYER, SANDRA ANNE (LCSW)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:ANNE
Last Name:SAWYER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10100 DAVITON CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-1327
Mailing Address - Country:US
Mailing Address - Phone:614-551-0534
Mailing Address - Fax:
Practice Address - Street 1:10100 DAVITON CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-1327
Practice Address - Country:US
Practice Address - Phone:614-551-0534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0106431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical