Provider Demographics
NPI:1073929865
Name:DUNSMORE, SARAH M (LCSWA)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:M
Last Name:DUNSMORE
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2023 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-3257
Mailing Address - Country:US
Mailing Address - Phone:919-428-4602
Mailing Address - Fax:
Practice Address - Street 1:2023 SUNSET AVE
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-3257
Practice Address - Country:US
Practice Address - Phone:919-428-4602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-01
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0083811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical