Provider Demographics
NPI:1114719168
Name:THORNELL, SARAH PIERCE (LCSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:PIERCE
Last Name:THORNELL
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7516 ENTERPRISE AVE
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-3802
Mailing Address - Country:US
Mailing Address - Phone:901-755-5802
Mailing Address - Fax:
Practice Address - Street 1:7516 ENTERPRISE AVE
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-3802
Practice Address - Country:US
Practice Address - Phone:901-755-5802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-17
Last Update Date:2025-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN94611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical