Provider Demographics
NPI:1467466888
Name:HOUSE, SARAH (LMSW)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:
Last Name:HOUSE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:JIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:200 WEST HOSPITAL DR.
Mailing Address - Street 2:WHITERIVER PHS INDIAN HOSPITAL
Mailing Address - City:WHITERIVER
Mailing Address - State:AZ
Mailing Address - Zip Code:85941
Mailing Address - Country:US
Mailing Address - Phone:928-338-3672
Mailing Address - Fax:
Practice Address - Street 1:200 WEST HOSPITAL DR.
Practice Address - Street 2:WHITERIVER PHS INDIAN HOSPITAL
Practice Address - City:WHITERIVER
Practice Address - State:AZ
Practice Address - Zip Code:85941
Practice Address - Country:US
Practice Address - Phone:928-338-3672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW-0589104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker