Provider Demographics
NPI:1851895379
Name:CABELL, SADE R (MSW, LISW, CDCA)
Entity Type:Individual
Prefix:
First Name:SADE
Middle Name:R
Last Name:CABELL
Suffix:
Gender:F
Credentials:MSW, LISW, CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1455 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43207-1011
Mailing Address - Country:US
Mailing Address - Phone:614-444-0800
Mailing Address - Fax:614-444-1036
Practice Address - Street 1:1455 S 4TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43207-1011
Practice Address - Country:US
Practice Address - Phone:614-444-0800
Practice Address - Fax:614-444-1036
Is Sole Proprietor?:No
Enumeration Date:2018-03-20
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
OHI.2405292104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator