Provider Demographics
NPI:1376718072
Name:SANFORD-SAWYER, ELAINE (LCSW; LICDC)
Entity Type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:
Last Name:SANFORD-SAWYER
Suffix:
Gender:F
Credentials:LCSW; LICDC
Other - Prefix:
Other - First Name:ELAINE
Other - Middle Name:
Other - Last Name:SANFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1701 NETHERFIELD LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-4537
Mailing Address - Country:US
Mailing Address - Phone:919-255-1785
Mailing Address - Fax:919-231-3446
Practice Address - Street 1:1701 NETHERFIELD LN
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-4537
Practice Address - Country:US
Practice Address - Phone:919-255-1785
Practice Address - Fax:919-231-3446
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-24
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH965606101YA0400X
OHI0028072-S1041C0700X
NCC0062951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)