Provider Demographics
NPI:1467611673
Name:SANKARI, HADWAT A (MSW)
Entity Type:Individual
Prefix:MS
First Name:HADWAT
Middle Name:A
Last Name:SANKARI
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:WEST BEND
Mailing Address - State:WI
Mailing Address - Zip Code:53095-4748
Mailing Address - Country:US
Mailing Address - Phone:262-416-2922
Mailing Address - Fax:866-990-9768
Practice Address - Street 1:215 N MAIN ST
Practice Address - Street 2:STE 205
Practice Address - City:WEST BEND
Practice Address - State:WI
Practice Address - Zip Code:53095-3347
Practice Address - Country:US
Practice Address - Phone:262-416-2922
Practice Address - Fax:866-990-9768
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2016-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7874-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical