Provider Demographics
NPI:1336490499
Name:LEFFLER, SARAH ANN (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:LEFFLER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 DARTMOOR LN
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-1409
Mailing Address - Country:US
Mailing Address - Phone:703-474-5097
Mailing Address - Fax:
Practice Address - Street 1:1600 PRINCE ST STE 102
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2836
Practice Address - Country:US
Practice Address - Phone:703-474-5097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-28
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040070211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical