Provider Demographics
NPI:1679847362
Name:TYLER, SARAH (LSW)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:TYLER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:ZEREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:3420 W HAYWARD PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-3626
Mailing Address - Country:US
Mailing Address - Phone:808-341-6637
Mailing Address - Fax:
Practice Address - Street 1:3420 W HAYWARD PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-3626
Practice Address - Country:US
Practice Address - Phone:808-341-6637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-28
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1000104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker