Provider Demographics
NPI:1790561926
Name:HART, SABRINA LYNN (LCSW-C)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:LYNN
Last Name:HART
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1946 THOMAS RUN CIR
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-1582
Mailing Address - Country:US
Mailing Address - Phone:443-632-4651
Mailing Address - Fax:
Practice Address - Street 1:1946 THOMAS RUN CIR
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-1582
Practice Address - Country:US
Practice Address - Phone:443-632-4651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD252921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical