Provider Demographics
NPI:1457446627
Name:VEESART, SARA BRIANNE (LMSW)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:BRIANNE
Last Name:VEESART
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:BRIANNE
Other - Last Name:RICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1851 US HIGHWAY 50
Mailing Address - Street 2:
Mailing Address - City:LAKIN
Mailing Address - State:KS
Mailing Address - Zip Code:67860-0166
Mailing Address - Country:US
Mailing Address - Phone:620-355-8456
Mailing Address - Fax:
Practice Address - Street 1:1851 US HIGHWAY 50
Practice Address - Street 2:
Practice Address - City:LAKIN
Practice Address - State:KS
Practice Address - Zip Code:67860-0166
Practice Address - Country:US
Practice Address - Phone:620-355-8456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS6349104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker