Provider Demographics
NPI:1790536027
Name:GAGE, SARAH EMILY (LCSWA)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:EMILY
Last Name:GAGE
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1392
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28786-1392
Mailing Address - Country:US
Mailing Address - Phone:828-456-8995
Mailing Address - Fax:828-456-8905
Practice Address - Street 1:1159 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28786-3593
Practice Address - Country:US
Practice Address - Phone:828-456-8995
Practice Address - Fax:828-456-8905
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0198771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical