Provider Demographics
NPI:1619659976
Name:HAIR, SARAH MELANIE (LGSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MELANIE
Last Name:HAIR
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:MELANIE
Other - Last Name:DELAVEAUD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1801 MISSISSIPPI AVE SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-6120
Mailing Address - Country:US
Mailing Address - Phone:202-792-7100
Mailing Address - Fax:
Practice Address - Street 1:5450 3RD ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-6316
Practice Address - Country:US
Practice Address - Phone:202-792-7100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-04
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLG2000023951041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool