Provider Demographics
NPI:1194490003
Name:NORTHINGTON, SABRINA MARIE (BSW)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:MARIE
Last Name:NORTHINGTON
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 E ORMSBY AVE APT 7
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40203-2757
Mailing Address - Country:US
Mailing Address - Phone:270-317-1092
Mailing Address - Fax:
Practice Address - Street 1:219 E ORMSBY AVE APT 7
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40203-2757
Practice Address - Country:US
Practice Address - Phone:270-317-1092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-12
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty