Provider Demographics
NPI:1467836312
Name:OLIVER, SARAH MARIE (LMSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MARIE
Last Name:OLIVER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 BLUFFTON RD STE C
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-6228
Mailing Address - Country:US
Mailing Address - Phone:843-757-7500
Mailing Address - Fax:843-757-7510
Practice Address - Street 1:167 BLUFFTON RD STE C
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-6228
Practice Address - Country:US
Practice Address - Phone:843-757-7500
Practice Address - Fax:843-757-7510
Is Sole Proprietor?:No
Enumeration Date:2015-07-09
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10818104100000X
AL3720G104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker