Provider Demographics
NPI:1578960191
Name:NORMAN, SARAH (MSW, LMSW)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:NORMAN
Suffix:
Gender:F
Credentials:MSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 WAYFARER DR
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:MO
Mailing Address - Zip Code:63021-7541
Mailing Address - Country:US
Mailing Address - Phone:314-724-0066
Mailing Address - Fax:
Practice Address - Street 1:810 WAYFARER DR
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:MO
Practice Address - Zip Code:63021-7541
Practice Address - Country:US
Practice Address - Phone:314-724-0066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-25
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20130155251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical