Provider Demographics
NPI:1609235563
Name:TIPLER, SARAH KATHERINE (MSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:KATHERINE
Last Name:TIPLER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 MASSACHSETTS AVE NW
Mailing Address - Street 2:APT 301
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-7654
Mailing Address - Country:US
Mailing Address - Phone:205-253-9207
Mailing Address - Fax:
Practice Address - Street 1:20 ALTA SCHOOL RD
Practice Address - Street 2:
Practice Address - City:ALTA
Practice Address - State:WY
Practice Address - Zip Code:83414-4518
Practice Address - Country:US
Practice Address - Phone:202-570-4731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21509104100000X
DC50080995104100000X
VA0903002109104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker