Provider Demographics
NPI:1154523710
Name:SMITH, SARAH MARGARET (LCSW)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:MARGARET
Last Name:SMITH
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 1:15750 FOOTHILL BLVD
Mailing Address - Street 2:SOUTH COUNTY CRISIS RESPONSE PROGRAM
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94578-1012
Mailing Address - Country:US
Mailing Address - Phone:510-667-4901
Mailing Address - Fax:510-667-4964
Practice Address - Street 1:15750 FOOTHILL BLVD
Practice Address - Street 2:SOUTH COUNTY CRISIS RESPONSE PROGRAM
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94578-1012
Practice Address - Country:US
Practice Address - Phone:510-667-4901
Practice Address - Fax:510-667-4964
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 231231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical