Provider Demographics
NPI:1023693058
Name:SARA KREMER-START, LMSW, LLC
Entity type:Organization
Organization Name:SARA KREMER-START, LMSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KREMER-START
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:616-460-0711
Mailing Address - Street 1:PO BOX 150068
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49515-0068
Mailing Address - Country:US
Mailing Address - Phone:616-460-0711
Mailing Address - Fax:
Practice Address - Street 1:750 FRONT AVE NW STE 311
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49504-4400
Practice Address - Country:US
Practice Address - Phone:616-459-8971
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-11
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty