Provider Demographics
NPI:1194407346
Name:SARTORI ROCHA CHOUINARD, SABRINA (MSW, LISW)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:SARTORI ROCHA CHOUINARD
Suffix:
Gender:F
Credentials:MSW, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12951 UNIVERSITY AVE STE 200E
Mailing Address - Street 2:
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-8297
Mailing Address - Country:US
Mailing Address - Phone:515-758-8747
Mailing Address - Fax:515-758-8747
Practice Address - Street 1:12951 UNIVERSITY AVE STE 200E
Practice Address - Street 2:
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-8297
Practice Address - Country:US
Practice Address - Phone:515-758-8747
Practice Address - Fax:515-758-8747
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-07
Last Update Date:2024-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1076771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical