Provider Demographics
NPI:1801023916
Name:DRAPER, SARAH YVONNE (MSW, LSW)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:YVONNE
Last Name:DRAPER
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORRIS CITY
Mailing Address - State:IL
Mailing Address - Zip Code:62869-1118
Mailing Address - Country:US
Mailing Address - Phone:618-378-3010
Mailing Address - Fax:618-378-2308
Practice Address - Street 1:904 E MAIN ST
Practice Address - Street 2:
Practice Address - City:NORRIS CITY
Practice Address - State:IL
Practice Address - Zip Code:62869-1118
Practice Address - Country:US
Practice Address - Phone:618-378-3010
Practice Address - Fax:618-378-2308
Is Sole Proprietor?:No
Enumeration Date:2009-06-16
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.011901104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker