Provider Demographics
NPI:1730746462
Name:WHITE, SARAH RAE (LCSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:RAE
Last Name:WHITE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:RAE
Other - Last Name:WOLFE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:102 WHEATFIELD CIR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4467
Mailing Address - Country:US
Mailing Address - Phone:484-754-7273
Mailing Address - Fax:
Practice Address - Street 1:102 WHEATFIELD CIR
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4467
Practice Address - Country:US
Practice Address - Phone:484-754-7273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-29
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1212181041C0700X
TN70111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical