Provider Demographics
NPI:1225098429
Name:BLOMKALNS, SARA E (LCSW)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:E
Last Name:BLOMKALNS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:959 CHEVREUIL ST
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70448-6511
Mailing Address - Country:US
Mailing Address - Phone:985-727-3060
Mailing Address - Fax:985-626-5900
Practice Address - Street 1:4021 DESOTO ST
Practice Address - Street 2:SUITE B
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-1803
Practice Address - Country:US
Practice Address - Phone:985-626-8100
Practice Address - Fax:985-626-5900
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA53891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical