Provider Demographics
NPI:1700390333
Name:KINSEY, SARAH ALEENE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ALEENE
Last Name:KINSEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 N TROPICANA CIR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-6636
Mailing Address - Country:US
Mailing Address - Phone:775-303-9824
Mailing Address - Fax:
Practice Address - Street 1:10 N TROPICANA CIR
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-6636
Practice Address - Country:US
Practice Address - Phone:775-303-9824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-17
Last Update Date:2017-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7669-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1336511179Medicaid