Provider Demographics
NPI:1730738451
Name:PAYNE, SARAH BETH (MSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:BETH
Last Name:PAYNE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8972 MUDDY CREEK MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:WV
Mailing Address - Zip Code:24901-9490
Mailing Address - Country:US
Mailing Address - Phone:304-992-8511
Mailing Address - Fax:
Practice Address - Street 1:403 KNIGHT DR
Practice Address - Street 2:
Practice Address - City:RONCEVERTE
Practice Address - State:WV
Practice Address - Zip Code:24970-0169
Practice Address - Country:US
Practice Address - Phone:304-647-6498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-05
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor