Provider Demographics
NPI:1003246158
Name:HUGHES-ZABAWA, SARA ELLEN (LCSW)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:ELLEN
Last Name:HUGHES-ZABAWA
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 1:5606 BOBBY JONES BLVD
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59106-1127
Mailing Address - Country:US
Mailing Address - Phone:801-389-9030
Mailing Address - Fax:801-389-9030
Practice Address - Street 1:5606 BOBBY JONES BLVD
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59106
Practice Address - Country:US
Practice Address - Phone:801-389-9030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-26
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCSW-LIC-278931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MTBBH-LCSW-LIC-27893OtherSTATE OF MONTANA BUSINESS STANDARDS DIVISION BOARD OF BEHAVIORAL HEALTH