Provider Demographics
NPI:1124620547
Name:BENGS, SARAH LOUISE (LICSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LOUISE
Last Name:BENGS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 RIVERCHASE RD
Mailing Address - Street 2:
Mailing Address - City:NEW MARKET
Mailing Address - State:AL
Mailing Address - Zip Code:35761-9438
Mailing Address - Country:US
Mailing Address - Phone:805-478-4692
Mailing Address - Fax:
Practice Address - Street 1:333 FRANKLIN ST SE STE 300
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4264
Practice Address - Country:US
Practice Address - Phone:256-270-7399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4561C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical