Provider Demographics
NPI:1093328098
Name:RAWLINGS, SARAH ORA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ORA
Last Name:RAWLINGS
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 1:1201 SANDLER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32317-9431
Mailing Address - Country:US
Mailing Address - Phone:941-457-0132
Mailing Address - Fax:
Practice Address - Street 1:3333 WEST PENSACOLA STREET, SUITE 400
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32304-2888
Practice Address - Country:US
Practice Address - Phone:850-576-4388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW167241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty