Provider Demographics
NPI:1346971918
Name:KANE, SARAH JENNIFER (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:JENNIFER
Last Name:KANE
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 1:605 JETTON ST APT 118
Mailing Address - Street 2:
Mailing Address - City:DAVIDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28036-9350
Mailing Address - Country:US
Mailing Address - Phone:971-227-8751
Mailing Address - Fax:
Practice Address - Street 1:605 JETTON ST APT 118
Practice Address - Street 2:
Practice Address - City:DAVIDSON
Practice Address - State:NC
Practice Address - Zip Code:28036-9350
Practice Address - Country:US
Practice Address - Phone:971-227-8751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099263971041C0700X
VA09040139081041C0700X
NCC0146871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical