Provider Demographics
NPI:1881775278
Name:GOEBEL, SARAH T (MSW, LCSW-R)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:T
Last Name:GOEBEL
Suffix:
Gender:F
Credentials:MSW, LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 39
Mailing Address - Street 2:7 SUNNYSIDE AVE.
Mailing Address - City:BEMUS POINT
Mailing Address - State:NY
Mailing Address - Zip Code:14712-0039
Mailing Address - Country:US
Mailing Address - Phone:716-386-5033
Mailing Address - Fax:
Practice Address - Street 1:ERIE DEPT. OF VETERAN AFFAIRS MEDICAL CENTER
Practice Address - Street 2:135 EAST 38TH ST.
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16504
Practice Address - Country:US
Practice Address - Phone:814-860-2038
Practice Address - Fax:814-860-2110
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR029218-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical