Provider Demographics
NPI:1679104616
Name:SMITH, SARAH L (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:L
Last Name:SMITH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 FARMHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:LASCASSAS
Mailing Address - State:TN
Mailing Address - Zip Code:37085-4592
Mailing Address - Country:US
Mailing Address - Phone:417-684-7999
Mailing Address - Fax:615-624-7879
Practice Address - Street 1:1632 MIDDLE TENNESSEE BLVD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-5108
Practice Address - Country:US
Practice Address - Phone:615-962-7444
Practice Address - Fax:615-962-7853
Is Sole Proprietor?:No
Enumeration Date:2020-01-29
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker