Provider Demographics
NPI:1457122418
Name:LANDESMAN, SABRINA JOANN (LMSW)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:JOANN
Last Name:LANDESMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51103-3700
Mailing Address - Country:US
Mailing Address - Phone:712-234-2300
Mailing Address - Fax:
Practice Address - Street 1:800 W 5TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51103-3700
Practice Address - Country:US
Practice Address - Phone:712-234-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA120089104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker