Provider Demographics
NPI:1134502412
Name:METZ, SARA LECLAIRE (LLMSW)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:LECLAIRE
Last Name:METZ
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 HERITAGE AVE STE A2
Mailing Address - Street 2:
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-2871
Mailing Address - Country:US
Mailing Address - Phone:517-449-3786
Mailing Address - Fax:517-347-9622
Practice Address - Street 1:3800 HERITAGE AVE STE A2
Practice Address - Street 2:
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-2871
Practice Address - Country:US
Practice Address - Phone:517-449-3786
Practice Address - Fax:517-347-9622
Is Sole Proprietor?:No
Enumeration Date:2015-07-03
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010982851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical