Provider Demographics
NPI:1578010096
Name:JENKINS, SARAH BLAIR (LCSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:BLAIR
Last Name:JENKINS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 RAVENSCROFT DR STE 205B
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-3673
Mailing Address - Country:US
Mailing Address - Phone:828-231-2696
Mailing Address - Fax:
Practice Address - Street 1:29 RAVENSCROFT DR STE 205B
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3673
Practice Address - Country:US
Practice Address - Phone:828-231-2696
Practice Address - Fax:828-544-1201
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0127361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical