Provider Demographics
NPI:1740812650
Name:KIRCHER, SARAH ELLEN (LMSW)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ELLEN
Last Name:KIRCHER
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 1:16164 W POST DR
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-5732
Mailing Address - Country:US
Mailing Address - Phone:928-232-9069
Mailing Address - Fax:
Practice Address - Street 1:13201 N 35TH AVE STE 6B
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-1231
Practice Address - Country:US
Practice Address - Phone:602-777-1268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-08
Last Update Date:2020-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW-6358T104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker