Provider Demographics
NPI:1093017113
Name:FALKENHAGEN, SABRINA DUTCH (LCSW)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:DUTCH
Last Name:FALKENHAGEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:STANFORD
Other - Last Name:DUTCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:134 CATHY LN NE
Mailing Address - Street 2:
Mailing Address - City:CALHOUN
Mailing Address - State:GA
Mailing Address - Zip Code:30701-4972
Mailing Address - Country:US
Mailing Address - Phone:770-548-8737
Mailing Address - Fax:
Practice Address - Street 1:1124 N. TENNESEE ST.
Practice Address - Street 2:SUITE 104
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120
Practice Address - Country:US
Practice Address - Phone:770-607-7310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-22
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0018131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical