Provider Demographics
NPI:1023438371
Name:EHLERS, SARAH E ((LCSW))
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:E
Last Name:EHLERS
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 1:3635 NE CYPRESS DR.
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64117
Mailing Address - Country:US
Mailing Address - Phone:816-521-0479
Mailing Address - Fax:
Practice Address - Street 1:1170 W. KANSAS AVE
Practice Address - Street 2:BLDG 10
Practice Address - City:LIBERTY
Practice Address - State:MO
Practice Address - Zip Code:64068
Practice Address - Country:US
Practice Address - Phone:816-200-1738
Practice Address - Fax:816-407-7706
Is Sole Proprietor?:No
Enumeration Date:2014-04-24
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20070200881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1124457239Medicaid