Provider Demographics
NPI:1386366615
Name:GILES, SARA HEIKE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:HEIKE
Last Name:GILES
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 1:1925 EUCLID AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92105-5362
Mailing Address - Country:US
Mailing Address - Phone:619-648-1158
Mailing Address - Fax:619-303-0449
Practice Address - Street 1:1925 EUCLID AVE STE 108
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92105-5362
Practice Address - Country:US
Practice Address - Phone:619-648-1158
Practice Address - Fax:619-303-0449
Is Sole Proprietor?:No
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA846711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical