Provider Demographics
NPI:1982185005
Name:MIHM, SABRENA A (LCSW)
Entity Type:Individual
Prefix:
First Name:SABRENA
Middle Name:A
Last Name:MIHM
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 1:569 HWY 36
Mailing Address - Street 2:
Mailing Address - City:BELFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07718-1651
Mailing Address - Country:US
Mailing Address - Phone:732-495-2350
Mailing Address - Fax:
Practice Address - Street 1:2137 STATE ROUTE 35 UNIT 370
Practice Address - Street 2:
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1083
Practice Address - Country:US
Practice Address - Phone:732-495-2350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-27
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
44SC05787300104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker