Provider Demographics
NPI:1306023320
Name:LAMIE, SARAH E (LSW, MSW)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:E
Last Name:LAMIE
Suffix:
Gender:F
Credentials:LSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 BARRINGTON DR
Mailing Address - Street 2:
Mailing Address - City:BOURBONNAIS
Mailing Address - State:IL
Mailing Address - Zip Code:60914-1677
Mailing Address - Country:US
Mailing Address - Phone:815-278-6350
Mailing Address - Fax:
Practice Address - Street 1:375 BARRINGTON DR
Practice Address - Street 2:
Practice Address - City:BOURBONNAIS
Practice Address - State:IL
Practice Address - Zip Code:60914-1677
Practice Address - Country:US
Practice Address - Phone:815-278-6350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-22
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.011365104100000X
IL1500113561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker