Provider Demographics
NPI:1437452281
Name:WALTON-HEUGES, SARAH LOVE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:LOVE
Last Name:WALTON-HEUGES
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 1:101 WAVERLY RD
Mailing Address - Street 2:
Mailing Address - City:WYNCOTE
Mailing Address - State:PA
Mailing Address - Zip Code:19095-1210
Mailing Address - Country:US
Mailing Address - Phone:267-664-4187
Mailing Address - Fax:
Practice Address - Street 1:101 WAVERLY RD
Practice Address - Street 2:
Practice Address - City:WYNCOTE
Practice Address - State:PA
Practice Address - Zip Code:19095-1210
Practice Address - Country:US
Practice Address - Phone:267-664-4187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-17
Last Update Date:2010-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0168381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical