Provider Demographics
NPI:1639377112
Name:SLOAN, SARAH K (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:K
Last Name:SLOAN
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 1:1902 E 16TH ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78702-1218
Mailing Address - Country:US
Mailing Address - Phone:512-320-0291
Mailing Address - Fax:
Practice Address - Street 1:100A W DEAN KEETON ST
Practice Address - Street 2:1 UNIVERSITY STATION, SSB, A3500
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78712-1002
Practice Address - Country:US
Practice Address - Phone:512-475-8219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX386981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical