Provider Demographics
NPI:1881216364
Name:MILLER, SARAH MACKESY (LSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:MACKESY
Last Name:MILLER
Suffix:
Gender:
Credentials:LSW
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:MACKESY
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2021 PLEISCHER RD
Mailing Address - Street 2:
Mailing Address - City:GROVER HILL
Mailing Address - State:OH
Mailing Address - Zip Code:45849-9735
Mailing Address - Country:US
Mailing Address - Phone:937-935-3431
Mailing Address - Fax:
Practice Address - Street 1:8245 FARNSWORTH RD STE B
Practice Address - Street 2:
Practice Address - City:WATERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43566-9478
Practice Address - Country:US
Practice Address - Phone:419-276-3946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-07
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.19036581041C0700X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical