Provider Demographics
NPI:1043402258
Name:SAR, MICHAEL SAKSAM (LCSW)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:SAKSAM
Last Name:SAR
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 CORONADO AVE APT 6
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90814-7777
Mailing Address - Country:US
Mailing Address - Phone:562-233-1326
Mailing Address - Fax:
Practice Address - Street 1:711 E VIA WANDA
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90805-6526
Practice Address - Country:US
Practice Address - Phone:562-380-1692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-11
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical