1740408434 NPI number — MRS. SANDRA H SAWYER LCSW

Table of content: MRS. SANDRA H SAWYER LCSW (NPI 1740408434)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740408434 NPI number — MRS. SANDRA H SAWYER LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SAWYER
Provider First Name:
SANDRA
Provider Middle Name:
H
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740408434
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
228 RUTH ANN WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARROYO GRANDE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93420
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-474-0105
Provider Business Mailing Address Fax Number:
805-489-3434

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
126 W BRANCH ST
Provider Second Line Business Practice Location Address:
SUITE 10
Provider Business Practice Location Address City Name:
AARROYO GRANDE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93420
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-474-0105
Provider Business Practice Location Address Fax Number:
805-489-3434
Provider Enumeration Date:
04/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  LCS12477 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 11332348 . This is a "CAQH UNIVERSAL CREDENTIAL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 12477 . This is a "LCSW" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com