Provider Demographics
NPI:1710608658
Name:SARGENT, JADYN LYNN (MSW)
Entity Type:Individual
Prefix:MS
First Name:JADYN
Middle Name:LYNN
Last Name:SARGENT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6206 W HARBOR DR
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-7680
Mailing Address - Country:US
Mailing Address - Phone:208-699-9896
Mailing Address - Fax:
Practice Address - Street 1:704 E 4TH AVE
Practice Address - Street 2:
Practice Address - City:POST FALLS
Practice Address - State:ID
Practice Address - Zip Code:83854-7559
Practice Address - Country:US
Practice Address - Phone:208-676-1075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-08
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker