Provider Demographics
NPI:1942498498
Name:ALGUIRE, SARA LYNN (LCSW)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:LYNN
Last Name:ALGUIRE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13805 VILLAGE MILL DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23114-4304
Mailing Address - Country:US
Mailing Address - Phone:804-378-9006
Mailing Address - Fax:804-378-9074
Practice Address - Street 1:13805 VILLAGE MILL DR
Practice Address - Street 2:SUITE 203
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114-4304
Practice Address - Country:US
Practice Address - Phone:804-378-9006
Practice Address - Fax:804-378-9074
Is Sole Proprietor?:No
Enumeration Date:2007-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040066251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA11766212OtherCAQH