Provider Demographics
NPI:1912377839
Name:BADLEY, SARAH HUNTER (MSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:HUNTER
Last Name:BADLEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1586 WINCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25405-5025
Mailing Address - Country:US
Mailing Address - Phone:304-267-0818
Mailing Address - Fax:304-267-0807
Practice Address - Street 1:1586 WINCHESTER AVE
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25405-5025
Practice Address - Country:US
Practice Address - Phone:304-267-0818
Practice Address - Fax:304-267-0807
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-05
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVBP009447501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVBP00944750OtherBOARD OF SOCIAL WORK LICENSE