Provider Demographics
NPI:1275223026
Name:SCHIEFFELIN, SARAH (LGPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:SCHIEFFELIN
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13121 BROADMORE RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-3273
Mailing Address - Country:US
Mailing Address - Phone:610-420-5897
Mailing Address - Fax:
Practice Address - Street 1:236 S BOULDIN ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-2315
Practice Address - Country:US
Practice Address - Phone:202-681-1348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP13451101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional