Provider Demographics
NPI:1205193281
Name:EDMUNDS, SARAH READ (LCSW-C)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:READ
Last Name:EDMUNDS
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11409 ROLLING HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4540
Mailing Address - Country:US
Mailing Address - Phone:301-710-9470
Mailing Address - Fax:301-230-0439
Practice Address - Street 1:1680 E GUDE DR
Practice Address - Street 2:#104
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-1360
Practice Address - Country:US
Practice Address - Phone:301-230-0439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-16
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10354101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health