Provider Demographics
NPI:1710440938
Name:LOVELADY, SARA BETH (LICSW)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:BETH
Last Name:LOVELADY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2413 OLD BRIAR TRL
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-1526
Mailing Address - Country:US
Mailing Address - Phone:205-394-8450
Mailing Address - Fax:
Practice Address - Street 1:1211 28TH ST S STE 100
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1833
Practice Address - Country:US
Practice Address - Phone:205-394-8450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-14
Last Update Date:2019-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4261C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical