Provider Demographics
NPI:1467133983
Name:ESPINOSA, SARAH (S-CSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:ESPINOSA
Suffix:
Gender:F
Credentials:S-CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 CANNONBALL CIR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23669-2400
Mailing Address - Country:US
Mailing Address - Phone:845-665-3438
Mailing Address - Fax:
Practice Address - Street 1:33 CANNONBALL CIR
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23669-2400
Practice Address - Country:US
Practice Address - Phone:845-665-3438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09060138171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical