Provider Demographics
NPI:1952633117
Name:MARSH, SARA (MSW, EDD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:
Last Name:MARSH
Suffix:
Gender:F
Credentials:MSW, EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2387 LISA LANE
Mailing Address - Street 2:OFFICE
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523
Mailing Address - Country:US
Mailing Address - Phone:925-677-7267
Mailing Address - Fax:925-677-7444
Practice Address - Street 1:2387 LISA LANE
Practice Address - Street 2:OFFICE
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523
Practice Address - Country:US
Practice Address - Phone:925-677-7267
Practice Address - Fax:925-677-7444
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-12
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA209241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical