Provider Demographics
NPI:1659657567
Name:GRUNDHOEFER, SARAH ELIZABETH (LCSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ELIZABETH
Last Name:GRUNDHOEFER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:ELROD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1321 S JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:IN
Mailing Address - Zip Code:47167-9730
Mailing Address - Country:US
Mailing Address - Phone:812-883-3095
Mailing Address - Fax:812-883-4405
Practice Address - Street 1:1321 S JACKSON ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:IN
Practice Address - Zip Code:47167-9730
Practice Address - Country:US
Practice Address - Phone:812-883-3095
Practice Address - Fax:812-883-4405
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-25
Last Update Date:2014-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical