Provider Demographics
NPI:1205547254
Name:CADY, SARA RENAE (MSW, CSW, ACT)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:RENAE
Last Name:CADY
Suffix:
Gender:F
Credentials:MSW, CSW, ACT
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:RENAE
Other - Last Name:KROONTJE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:206 RILEY CIR
Mailing Address - Street 2:
Mailing Address - City:VALLEY SPRINGS
Mailing Address - State:SD
Mailing Address - Zip Code:57068-9323
Mailing Address - Country:US
Mailing Address - Phone:605-201-3453
Mailing Address - Fax:
Practice Address - Street 1:206 RILEY CIR
Practice Address - Street 2:
Practice Address - City:VALLEY SPRINGS
Practice Address - State:SD
Practice Address - Zip Code:57068-9323
Practice Address - Country:US
Practice Address - Phone:605-201-3453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD6208104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker