Provider Demographics
NPI:1821706474
Name:WESCHLER, SALLY KATHERINE (LICSW)
Entity Type:Individual
Prefix:MS
First Name:SALLY
Middle Name:KATHERINE
Last Name:WESCHLER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MS
Other - First Name:SALLY
Other - Middle Name:KATHERINE
Other - Last Name:BIESINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24409 NEWPORT RD
Mailing Address - Street 2:
Mailing Address - City:ROBERTSDALE
Mailing Address - State:AL
Mailing Address - Zip Code:36567-2841
Mailing Address - Country:US
Mailing Address - Phone:251-424-7927
Mailing Address - Fax:
Practice Address - Street 1:24409 NEWPORT RD
Practice Address - Street 2:
Practice Address - City:ROBERTSDALE
Practice Address - State:AL
Practice Address - Zip Code:36567-2841
Practice Address - Country:US
Practice Address - Phone:251-424-7927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4529C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical