Provider Demographics
NPI:1265854095
Name:DEMAISON, SARAH LYNN (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNN
Last Name:DEMAISON
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 N TRADE ST STE 203
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-9433
Mailing Address - Country:US
Mailing Address - Phone:704-841-9454
Mailing Address - Fax:866-834-1817
Practice Address - Street 1:250 N TRADE ST STE 203
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-9433
Practice Address - Country:US
Practice Address - Phone:704-841-9454
Practice Address - Fax:866-834-1817
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-14
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0082461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical