Provider Demographics
NPI:1790291227
Name:MACKLIN, SARAH SACHEM
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:SACHEM
Last Name:MACKLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:SACHEM
Other - Last Name:BECKMAN-ELLENWOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:126 MAPLE CIR
Mailing Address - Street 2:
Mailing Address - City:CLIMAX
Mailing Address - State:MI
Mailing Address - Zip Code:49034-9748
Mailing Address - Country:US
Mailing Address - Phone:269-251-8333
Mailing Address - Fax:269-344-0285
Practice Address - Street 1:778 COLUMBIA AVE W
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-3028
Practice Address - Country:US
Practice Address - Phone:269-251-8333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-20
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011164851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical