Provider Demographics
NPI:1154855062
Name:MICHAELS, SARAH (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:
Last Name:MICHAELS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:BROGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:906 TRAILVIEW BLVD SE
Mailing Address - Street 2:SUITE A
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20175-4415
Mailing Address - Country:US
Mailing Address - Phone:571-271-7492
Mailing Address - Fax:
Practice Address - Street 1:906 TRAILVIEW BLVD SE
Practice Address - Street 2:SUITE A
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-4415
Practice Address - Country:US
Practice Address - Phone:571-271-7492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-18
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040095501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical