Provider Demographics
NPI:1801223581
Name:LITPON-CAREY, SARA (ASW)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:LITPON-CAREY
Suffix:
Gender:F
Credentials:ASW
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 22210
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94623-2210
Mailing Address - Country:US
Mailing Address - Phone:510-535-2965
Mailing Address - Fax:510-535-4128
Practice Address - Street 1:16335 EAST 14TH STREET
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94579
Practice Address - Country:US
Practice Address - Phone:510-481-4554
Practice Address - Fax:510-481-4556
Is Sole Proprietor?:No
Enumeration Date:2013-09-26
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34732104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker