Provider Demographics
NPI:1821577578
Name:ROBINSON, SARAH ROSENCRANS
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ROSENCRANS
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6515 WATTS RD STE 206
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-2726
Mailing Address - Country:US
Mailing Address - Phone:715-213-7456
Mailing Address - Fax:
Practice Address - Street 1:6515 WATTS RD STE 206
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-2726
Practice Address - Country:US
Practice Address - Phone:715-213-7456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-13
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8984-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical