Provider Demographics
NPI:1770823320
Name:DORSEY, SARAH BROOKE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:BROOKE
Last Name:DORSEY
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 1:5519 BAY CREEK DR
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-5705
Mailing Address - Country:US
Mailing Address - Phone:503-624-1545
Mailing Address - Fax:
Practice Address - Street 1:5519 BAY CREEK DR
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-5705
Practice Address - Country:US
Practice Address - Phone:503-248-0011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-19
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR04911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical