Provider Demographics
NPI:1336301001
Name:OXENDINE, SARAH (LCSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:OXENDINE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:343 E SIX FORKS RD
Mailing Address - Street 2:SUITE 330
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7800
Mailing Address - Country:US
Mailing Address - Phone:919-783-8080
Mailing Address - Fax:919-783-8040
Practice Address - Street 1:343 E SIX FORKS RD
Practice Address - Street 2:SUITE 330
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7800
Practice Address - Country:US
Practice Address - Phone:919-783-8080
Practice Address - Fax:919-783-8040
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0044571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6002689Medicaid