Provider Demographics
NPI:1841603842
Name:BLINKINSOP, SARAH J (LISW)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:J
Last Name:BLINKINSOP
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2386 267TH AVE
Mailing Address - Street 2:
Mailing Address - City:DE WITT
Mailing Address - State:IA
Mailing Address - Zip Code:52742-9129
Mailing Address - Country:US
Mailing Address - Phone:562-340-2354
Mailing Address - Fax:
Practice Address - Street 1:2386 267TH AVE
Practice Address - Street 2:
Practice Address - City:DE WITT
Practice Address - State:IA
Practice Address - Zip Code:52742-9129
Practice Address - Country:US
Practice Address - Phone:562-340-2354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-06
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0069841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical