Provider Demographics
NPI:1427710300
Name:WOODMAN, SARAH (LMSW-CC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:WOODMAN
Suffix:
Gender:F
Credentials:LMSW-CC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 VA CENTER
Mailing Address - Street 2:116A- MH
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330
Mailing Address - Country:US
Mailing Address - Phone:207-250-3422
Mailing Address - Fax:207-621-6935
Practice Address - Street 1:1 VA CENTER
Practice Address - Street 2:116A- MH
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330
Practice Address - Country:US
Practice Address - Phone:207-250-3422
Practice Address - Fax:207-621-6935
Is Sole Proprietor?:No
Enumeration Date:2021-10-08
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC224551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical