Provider Demographics
NPI:1144798836
Name:GIACALONE, SARAH L (LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:L
Last Name:GIACALONE
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:WALLACE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4311 LYNN BURKE RD
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:MD
Mailing Address - Zip Code:21770-9230
Mailing Address - Country:US
Mailing Address - Phone:785-787-3421
Mailing Address - Fax:
Practice Address - Street 1:4937 GREEN VALLEY RD
Practice Address - Street 2:N
Practice Address - City:MONROVIA
Practice Address - State:MD
Practice Address - Zip Code:21770-2177
Practice Address - Country:US
Practice Address - Phone:301-589-2519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-11
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23308104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker