Provider Demographics
NPI:1366007288
Name:ANDES, SARAH (LCSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:ANDES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 CAPITOL WAY STE B
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-2100
Mailing Address - Country:US
Mailing Address - Phone:701-751-1145
Mailing Address - Fax:701-751-1383
Practice Address - Street 1:1616 CAPITOL WAY STE B
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-2100
Practice Address - Country:US
Practice Address - Phone:701-751-1145
Practice Address - Fax:701-751-1383
Is Sole Proprietor?:No
Enumeration Date:2019-05-06
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND53651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical