Provider Demographics
NPI:1033465406
Name:GIROVASI, SARA MARIE (LGSW)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:MARIE
Last Name:GIROVASI
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 HIGHLAND ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-5715
Mailing Address - Country:US
Mailing Address - Phone:301-668-1689
Mailing Address - Fax:301-668-1910
Practice Address - Street 1:240 S POTOMAC ST
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-6005
Practice Address - Country:US
Practice Address - Phone:240-625-9180
Practice Address - Fax:240-452-3007
Is Sole Proprietor?:No
Enumeration Date:2012-08-03
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18064104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker