Provider Demographics
NPI:1407079437
Name:BORREGO, SARAH HOLROYDE (LCSW25329)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:HOLROYDE
Last Name:BORREGO
Suffix:
Gender:F
Credentials:LCSW25329
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:BORREGO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW25329
Mailing Address - Street 1:3719 LIBERTY CANYON RD
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-3504
Mailing Address - Country:US
Mailing Address - Phone:626-513-5787
Mailing Address - Fax:
Practice Address - Street 1:2277 TOWNSGATE RD
Practice Address - Street 2:STE 102
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-2415
Practice Address - Country:US
Practice Address - Phone:626-513-5787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA253291041C0700X
CALCSW253291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical