Provider Demographics
NPI:1083456925
Name:SINDELAR, SARAH HEATHER ROSE (LMSW, MSW)
Entity type:Individual
Prefix:
First Name:SARAH HEATHER
Middle Name:ROSE
Last Name:SINDELAR
Suffix:
Gender:F
Credentials:LMSW, MSW
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:ROSE
Other - Last Name:SINDELAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW, MSW
Mailing Address - Street 1:1636 HIGHWAY 109
Mailing Address - Street 2:
Mailing Address - City:WILDWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63038-2607
Mailing Address - Country:US
Mailing Address - Phone:636-577-1437
Mailing Address - Fax:
Practice Address - Street 1:1360 S 5TH ST STE 306
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-2447
Practice Address - Country:US
Practice Address - Phone:314-441-5860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023015384104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker