Provider Demographics
NPI:1457671349
Name:BJERRE, SARAH JANE (LSW CDCA CCM)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JANE
Last Name:BJERRE
Suffix:
Gender:F
Credentials:LSW CDCA CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 MARTINEL DR
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-4380
Mailing Address - Country:US
Mailing Address - Phone:306-736-3393
Mailing Address - Fax:
Practice Address - Street 1:55 ARCH ST STE 3A
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1447
Practice Address - Country:US
Practice Address - Phone:330-375-3584
Practice Address - Fax:234-312-2307
Is Sole Proprietor?:No
Enumeration Date:2010-06-02
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
OHS.1200065104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker