Provider Demographics
NPI:1558397513
Name:GRAFF, SARA GAYLE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:GAYLE
Last Name:GRAFF
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1497 MAIN ST # 203
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-4612
Mailing Address - Country:US
Mailing Address - Phone:727-479-6041
Mailing Address - Fax:866-496-4382
Practice Address - Street 1:1342 SAGE DRIVE
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698
Practice Address - Country:US
Practice Address - Phone:727-479-6041
Practice Address - Fax:727-314-5719
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW70071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
U3353WMedicare PIN