Provider Demographics
NPI:1124155510
Name:SARTIN, MEGAN KNAUER (LCSW)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:KNAUER
Last Name:SARTIN
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 1:268 BRENFORD STATION RD
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977-4612
Mailing Address - Country:US
Mailing Address - Phone:302-659-5470
Mailing Address - Fax:
Practice Address - Street 1:401 N BROAD ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-1037
Practice Address - Country:US
Practice Address - Phone:302-376-0621
Practice Address - Fax:302-376-6219
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00009401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE169542ZDVLOtherMEDICARE
DE000000246464Medicaid