Provider Demographics
NPI:1134322050
Name:POEL, SARAH ANN (MSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:POEL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ANN
Other - Last Name:FELDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 35114
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87176-5114
Mailing Address - Country:US
Mailing Address - Phone:505-720-9692
Mailing Address - Fax:505-883-3638
Practice Address - Street 1:231 SIERRA DR SE
Practice Address - Street 2:SUITE 11
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-2714
Practice Address - Country:US
Practice Address - Phone:505-720-9692
Practice Address - Fax:505-883-3638
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI-066-481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical