Provider Demographics
NPI:1942927181
Name:MCCOWN, SARAH (LMSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MCCOWN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:MCCOWN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:919 W 39TH STREET
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21211
Mailing Address - Country:US
Mailing Address - Phone:443-219-8409
Mailing Address - Fax:
Practice Address - Street 1:511 W PRATT ST APT 708
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1650
Practice Address - Country:US
Practice Address - Phone:443-219-8409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-27
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25580101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4432198409OtherPRIVATE