Provider Demographics
NPI:1326773995
Name:VAN GORP, SARAH J (LISW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:J
Last Name:VAN GORP
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50311-3846
Mailing Address - Country:US
Mailing Address - Phone:515-271-7385
Mailing Address - Fax:515-271-7340
Practice Address - Street 1:3200 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50311-3846
Practice Address - Country:US
Practice Address - Phone:515-271-7385
Practice Address - Fax:515-271-7340
Is Sole Proprietor?:No
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical