Provider Demographics
NPI:1386817278
Name:VARNER, SARAH COLLEEN (LISW-S)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:COLLEEN
Last Name:VARNER
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:COLLEEN
Other - Last Name:DOCKERY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISW
Mailing Address - Street 1:377 GENESEE AVE NE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44483-5405
Mailing Address - Country:US
Mailing Address - Phone:330-980-9007
Mailing Address - Fax:
Practice Address - Street 1:165 E PARK AVE
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:OH
Practice Address - Zip Code:44446-2352
Practice Address - Country:US
Practice Address - Phone:330-544-8005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-11
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.0700038.SUPV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional