Provider Demographics
NPI:1962645242
Name:TURSI, SARAH ANN (LCSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:TURSI
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 1:1497 CHAIN BRIDGE RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-5728
Mailing Address - Country:US
Mailing Address - Phone:703-772-1668
Mailing Address - Fax:
Practice Address - Street 1:1497 CHAIN BRIDGE RD
Practice Address - Street 2:SUITE 103
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-5728
Practice Address - Country:US
Practice Address - Phone:703-772-1668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-15
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040070361041C0700X
NJ44SC045557001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical