Provider Demographics
NPI:1295499242
Name:THOMAS, SARAH ERLINE (LCSW-C)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ERLINE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2444 DIXIE LN
Mailing Address - Street 2:
Mailing Address - City:FOREST HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21050-1617
Mailing Address - Country:US
Mailing Address - Phone:757-647-6564
Mailing Address - Fax:
Practice Address - Street 1:2444 DIXIE LN
Practice Address - Street 2:
Practice Address - City:FOREST HILL
Practice Address - State:MD
Practice Address - Zip Code:21050-1617
Practice Address - Country:US
Practice Address - Phone:757-647-6564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20845101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health