Provider Demographics
NPI:1386165181
Name:CHERNICK, SARAH LAWLEY
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LAWLEY
Last Name:CHERNICK
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5330 CARROLL CANYON RD STE 120
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-3758
Mailing Address - Country:US
Mailing Address - Phone:619-800-5393
Mailing Address - Fax:
Practice Address - Street 1:5330 CARROLL CANYON RD STE 120
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-3758
Practice Address - Country:US
Practice Address - Phone:619-800-5393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-30
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13680924-3902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist