Provider Demographics
NPI:1831468156
Name:HUFFMAN, SARA KIRKLAND (MSW, LCSW)
Entity Type:Individual
Prefix:MISS
First Name:SARA
Middle Name:KIRKLAND
Last Name:HUFFMAN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:KIRKLAND
Other - Last Name:OSBORNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6602 MADERIA CT
Mailing Address - Street 2:
Mailing Address - City:WHITSETT
Mailing Address - State:NC
Mailing Address - Zip Code:27377-9138
Mailing Address - Country:US
Mailing Address - Phone:336-214-6584
Mailing Address - Fax:
Practice Address - Street 1:6602 MADERIA CT
Practice Address - Street 2:
Practice Address - City:WHITSETT
Practice Address - State:NC
Practice Address - Zip Code:27377
Practice Address - Country:US
Practice Address - Phone:336-214-6584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-14
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0056131041C0700X
NCC0079561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical