Provider Demographics
NPI:1235222399
Name:DOBBS, SARA JANE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:JANE
Last Name:DOBBS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:P
Other - Last Name:O'STEEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:719 OJAI AVE
Mailing Address - Street 2:
Mailing Address - City:SUN CITY CENTER
Mailing Address - State:FL
Mailing Address - Zip Code:33573-5108
Mailing Address - Country:US
Mailing Address - Phone:813-601-5189
Mailing Address - Fax:813-715-9798
Practice Address - Street 1:719 OJAI AVE
Practice Address - Street 2:
Practice Address - City:SUN CITY CENTER
Practice Address - State:FL
Practice Address - Zip Code:33573-5108
Practice Address - Country:US
Practice Address - Phone:813-601-5189
Practice Address - Fax:813-715-9798
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW1441104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ8221Medicare UPIN