Provider Demographics
NPI:1689714867
Name:DELLA VELLA, SARAH (LISW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:DELLA VELLA
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:VAN BERGEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISW
Mailing Address - Street 1:2193 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-3621
Mailing Address - Country:US
Mailing Address - Phone:216-375-5582
Mailing Address - Fax:
Practice Address - Street 1:20545 CENTER RIDGE RD STE 448
Practice Address - Street 2:
Practice Address - City:ROCKY RIVER
Practice Address - State:OH
Practice Address - Zip Code:44116-3423
Practice Address - Country:US
Practice Address - Phone:440-356-0083
Practice Address - Fax:440-356-0580
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-00102241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical