Provider Demographics
NPI:1013328970
Name:WOODWARD, SARAH JUSTINE (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:JUSTINE
Last Name:WOODWARD
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1608
Mailing Address - Street 2:
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-1608
Mailing Address - Country:US
Mailing Address - Phone:301-475-9660
Mailing Address - Fax:301-475-8810
Practice Address - Street 1:25484 POINT LOOKOUT RD
Practice Address - Street 2:SUITE 303
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-3842
Practice Address - Country:US
Practice Address - Phone:301-475-9660
Practice Address - Fax:301-475-8810
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-14
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD177731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical