Provider Demographics
NPI:1598004210
Name:MUELLER, SARAH (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:MUELLER
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 1:1469 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:FOWLER
Mailing Address - State:IL
Mailing Address - Zip Code:62338-2362
Mailing Address - Country:US
Mailing Address - Phone:217-434-9144
Mailing Address - Fax:
Practice Address - Street 1:1469 SOUTH ST
Practice Address - Street 2:
Practice Address - City:FOWLER
Practice Address - State:IL
Practice Address - Zip Code:62338-2362
Practice Address - Country:US
Practice Address - Phone:217-434-9144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-01
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0155971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical