Provider Demographics
NPI:1508210329
Name:NORTHINGTON, SARAH (SSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:NORTHINGTON
Suffix:
Gender:F
Credentials:SSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 N 300 E
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-2620
Mailing Address - Country:US
Mailing Address - Phone:435-586-6654
Mailing Address - Fax:435-586-6865
Practice Address - Street 1:33 N 300 E
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-2620
Practice Address - Country:US
Practice Address - Phone:435-586-6654
Practice Address - Fax:435-586-6865
Is Sole Proprietor?:No
Enumeration Date:2016-04-18
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker