Provider Demographics
NPI:1285276717
Name:JANOFF-BRINN, SARAH ELANA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ELANA
Last Name:JANOFF-BRINN
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 1:100 DOMINICAN DR
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-1340
Mailing Address - Country:US
Mailing Address - Phone:415-302-3461
Mailing Address - Fax:
Practice Address - Street 1:21 TAMAL VISTA BLVD STE 180
Practice Address - Street 2:
Practice Address - City:CORTE MADERA
Practice Address - State:CA
Practice Address - Zip Code:94925-1146
Practice Address - Country:US
Practice Address - Phone:415-228-6917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-16
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA740741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty