Provider Demographics
NPI:1275680696
Name:BALL, SARAH RUTH (LICSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:RUTH
Last Name:BALL
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3712 OLD FOREST RD
Mailing Address - Street 2:SUITE 500 (YODER JEFFERSON & ASSOCIATES)
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-6959
Mailing Address - Country:US
Mailing Address - Phone:434-385-0744
Mailing Address - Fax:434-385-8358
Practice Address - Street 1:3712 OLD FOREST RD
Practice Address - Street 2:SUITE 500 (YODER JEFFERSON & ASSOCIATES)
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-6959
Practice Address - Country:US
Practice Address - Phone:434-385-0744
Practice Address - Fax:434-385-8358
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040046421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical