Provider Demographics
NPI:1790225043
Name:MCNELY, SARA (LCSE)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:
Last Name:MCNELY
Suffix:
Gender:F
Credentials:LCSE
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:JOSI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6602 W TETHER TRL
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85083-1054
Mailing Address - Country:US
Mailing Address - Phone:818-454-3570
Mailing Address - Fax:
Practice Address - Street 1:4657 S LAKESHORE DR STE 1
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-7170
Practice Address - Country:US
Practice Address - Phone:480-718-1261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-06
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-229681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical