Provider Demographics
NPI:1003565839
Name:HACKER, SARAH ELISABETH (LCAS, LCSW, CSI)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ELISABETH
Last Name:HACKER
Suffix:
Gender:F
Credentials:LCAS, LCSW, CSI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22C NEW LEICESTER HWY # 127
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-2726
Mailing Address - Country:US
Mailing Address - Phone:828-989-0896
Mailing Address - Fax:
Practice Address - Street 1:5 FLYNN BRANCH RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-9604
Practice Address - Country:US
Practice Address - Phone:828-989-0896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-21
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0148011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical