Provider Demographics
NPI:1245209964
Name:VONHARTEN, SARAH ELIZABETH (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ELIZABETH
Last Name:VONHARTEN
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:PO BOX 598
Mailing Address - Street 2:
Mailing Address - City:OCCOQUAN
Mailing Address - State:VA
Mailing Address - Zip Code:22125-0598
Mailing Address - Country:US
Mailing Address - Phone:703-490-9680
Mailing Address - Fax:703-490-9682
Practice Address - Street 1:416 MILL STREET
Practice Address - Street 2:UNIT 1A
Practice Address - City:OCCOQUAN
Practice Address - State:VA
Practice Address - Zip Code:22125
Practice Address - Country:US
Practice Address - Phone:703-490-9680
Practice Address - Fax:703-490-9682
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040057141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical