Provider Demographics
NPI:1316598519
Name:ARMSTRONG, SARAH ALICIA (LCSW - 38396)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ALICIA
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:LCSW - 38396
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 509
Mailing Address - Street 2:
Mailing Address - City:HAYDEN
Mailing Address - State:ID
Mailing Address - Zip Code:83835-0509
Mailing Address - Country:US
Mailing Address - Phone:208-699-6458
Mailing Address - Fax:
Practice Address - Street 1:6351 N COLFAX ST
Practice Address - Street 2:
Practice Address - City:DALTON GARDENS
Practice Address - State:ID
Practice Address - Zip Code:83815-9284
Practice Address - Country:US
Practice Address - Phone:208-699-6458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-28
Last Update Date:2019-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID383961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical