Provider Demographics
NPI:1063716546
Name:MARLEY, SARA H (LCSW)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:H
Last Name:MARLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 FINCASTLE DR
Mailing Address - Street 2:
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060-5036
Mailing Address - Country:US
Mailing Address - Phone:303-903-7862
Mailing Address - Fax:720-398-3157
Practice Address - Street 1:300 FINCASTLE DR
Practice Address - Street 2:
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-5036
Practice Address - Country:US
Practice Address - Phone:303-903-7862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-27
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9925771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical