Provider Demographics
NPI:1215791132
Name:SARAH MITCHELL CHEN LCSW PLLC
Entity type:Organization
Organization Name:SARAH MITCHELL CHEN LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:COLLEEN MITCHELL
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:810-618-3715
Mailing Address - Street 1:1055 W BRYN MAWR AVE STE F
Mailing Address - Street 2:PMB 225
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660
Mailing Address - Country:US
Mailing Address - Phone:312-872-4414
Mailing Address - Fax:
Practice Address - Street 1:5855 N MAGNOLIA AVE APT 2
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60660-3461
Practice Address - Country:US
Practice Address - Phone:312-872-4414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty