Provider Demographics
NPI:1770236234
Name:BEDDINGFIELD, SARAH EVE (LMSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:EVE
Last Name:BEDDINGFIELD
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5806 MESA DR STE 305
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-3783
Mailing Address - Country:US
Mailing Address - Phone:512-890-2109
Mailing Address - Fax:
Practice Address - Street 1:5806 MESA DR STE 305
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-3783
Practice Address - Country:US
Practice Address - Phone:512-890-2109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103794104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker