Provider Demographics
NPI:1245680685
Name:BERENS, SARAH (LMSW)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:
Last Name:BERENS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-1916
Mailing Address - Country:US
Mailing Address - Phone:785-625-6651
Mailing Address - Fax:785-625-6654
Practice Address - Street 1:3000 BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-1916
Practice Address - Country:US
Practice Address - Phone:785-625-6651
Practice Address - Fax:785-625-6654
Is Sole Proprietor?:No
Enumeration Date:2016-06-16
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS10019104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker