Provider Demographics
NPI:1992847537
Name:LAFKAS, SARA MCPHEE (LICSW, EDD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:MCPHEE
Last Name:LAFKAS
Suffix:
Gender:F
Credentials:LICSW, EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 W 1400 N
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84341-6811
Mailing Address - Country:US
Mailing Address - Phone:435-752-5302
Mailing Address - Fax:
Practice Address - Street 1:175 W 1400 N
Practice Address - Street 2:
Practice Address - City:LOGAN
Practice Address - State:UT
Practice Address - Zip Code:84341-6811
Practice Address - Country:US
Practice Address - Phone:435-752-5302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1164141041C0700X
CA270101041C0700X
UT8575248-3502104100000X
UT8575248-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker