Provider Demographics
NPI:1720577281
Name:BIDDLE, SARA ANN (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:ANN
Last Name:BIDDLE
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 1:4330 GOLF TER STE 209
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-4688
Mailing Address - Country:US
Mailing Address - Phone:715-461-0643
Mailing Address - Fax:
Practice Address - Street 1:4330 GOLF TER STE 209
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-4688
Practice Address - Country:US
Practice Address - Phone:715-717-7525
Practice Address - Fax:715-717-7504
Is Sole Proprietor?:No
Enumeration Date:2018-05-09
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI130634-121104100000X
WI9265-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker