Provider Demographics
NPI:1659038222
Name:SCHEIBNER, SARA MARIE (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:MARIE
Last Name:SCHEIBNER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2015 MCKENZIE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28270-2278
Mailing Address - Country:US
Mailing Address - Phone:973-919-2626
Mailing Address - Fax:
Practice Address - Street 1:5007 PROVIDENCE RD STE 105
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-5907
Practice Address - Country:US
Practice Address - Phone:704-364-6594
Practice Address - Fax:704-364-6596
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-18
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0078501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty