Provider Demographics
NPI:1225246556
Name:SCHOLEFIELD, SARAH SUSIE
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:SUSIE
Last Name:SCHOLEFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:SUSIE
Other - Last Name:SCHOLEFIELD-NOLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:251 CANDLELIGHT DR
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-1314
Mailing Address - Country:US
Mailing Address - Phone:707-526-5589
Mailing Address - Fax:
Practice Address - Street 1:251 CANDLELIGHT DR
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-1314
Practice Address - Country:US
Practice Address - Phone:707-526-5589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS168251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical