Provider Demographics
NPI:1083070130
Name:KIRKWOOD, SARAH (LIMHP, LADC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:KIRKWOOD
Suffix:
Gender:F
Credentials:LIMHP, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 S 9TH ST STE 122
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68508-2283
Mailing Address - Country:US
Mailing Address - Phone:531-500-3759
Mailing Address - Fax:531-500-5836
Practice Address - Street 1:315 S 9TH ST STE 122
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508-2283
Practice Address - Country:US
Practice Address - Phone:531-500-3759
Practice Address - Fax:531-500-5836
Is Sole Proprietor?:No
Enumeration Date:2016-01-05
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEP-1207101YA0400X
NE10330101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)