Provider Demographics
NPI:1164677217
Name:KEMP, SARAH EDWARDS (LISW-CP)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:EDWARDS
Last Name:KEMP
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4130 FABER PLACE DR
Mailing Address - Street 2:#115
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-8501
Mailing Address - Country:US
Mailing Address - Phone:843-747-5327
Mailing Address - Fax:843-747-0698
Practice Address - Street 1:4130 FABER PLACE DR
Practice Address - Street 2:#115
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-8501
Practice Address - Country:US
Practice Address - Phone:843-747-5327
Practice Address - Fax:843-747-0698
Is Sole Proprietor?:No
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC61941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical