Provider Demographics
NPI:1396073516
Name:SASSER, CAROLINE (LCSW PIP)
Entity type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:
Last Name:SASSER
Suffix:
Gender:F
Credentials:LCSW PIP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2305 ARLINGTON AVE S
Mailing Address - Street 2:ADULT AND CHILD DEVELOPMENT PROFESSIONALS
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-4111
Mailing Address - Country:US
Mailing Address - Phone:205-933-0539
Mailing Address - Fax:205-933-9280
Practice Address - Street 1:2305 ARLINGTON AVE S
Practice Address - Street 2:ADULT AND CHILD DEVELOPMENT PROFESSIONALS
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-4111
Practice Address - Country:US
Practice Address - Phone:205-933-0539
Practice Address - Fax:205-933-9280
Is Sole Proprietor?:No
Enumeration Date:2009-11-29
Last Update Date:2009-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2007C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical