Provider Demographics
NPI:1124653852
Name:WALSH, SARAH BUCHANAN (BSW, MSW, LICSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:BUCHANAN
Last Name:WALSH
Suffix:
Gender:
Credentials:BSW, MSW, LICSW
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:BUCHANAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:316 W BOONE AVE STE 850
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-2353
Mailing Address - Country:US
Mailing Address - Phone:760-453-0796
Mailing Address - Fax:509-984-3702
Practice Address - Street 1:316 W BOONE AVE STE 850
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-2353
Practice Address - Country:US
Practice Address - Phone:760-453-0796
Practice Address - Fax:509-984-3702
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-03
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANA60299721390200000X
WACG61042075101Y00000X, 390200000X
WALW615345491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No101Y00000XBehavioral Health & Social Service ProvidersCounselor