Provider Demographics
NPI:1235161720
Name:SOMMERS, SARAH B (LCSW-C, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:B
Last Name:SOMMERS
Suffix:
Gender:F
Credentials:LCSW-C, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8297 AUSTIN HILL CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-4103
Mailing Address - Country:US
Mailing Address - Phone:703-582-5349
Mailing Address - Fax:
Practice Address - Street 1:8297 AUSTIN HILL CT
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92127-4103
Practice Address - Country:US
Practice Address - Phone:703-582-5349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD129461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD409614200Medicaid
MD825965-000OtherMAGELLAN HEALTHCARE
MD648786-01OtherCARE FIRST BCBS