Provider Demographics
NPI:1770817710
Name:TALEBI, SARA B (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:B
Last Name:TALEBI
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 1:722 HIGHLAND RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66503-0313
Mailing Address - Country:US
Mailing Address - Phone:785-252-7064
Mailing Address - Fax:
Practice Address - Street 1:722 HIGHLAND RIDGE DR
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66503-0313
Practice Address - Country:US
Practice Address - Phone:785-252-7064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-23
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS7403104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker