Provider Demographics
NPI:1528110491
Name:SPORNY, SARAH E (LMSW)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:E
Last Name:SPORNY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:ARMITAGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:31258 STONEGATE CT
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-1458
Mailing Address - Country:US
Mailing Address - Phone:734-846-7276
Mailing Address - Fax:
Practice Address - Street 1:31258 STONEGATE CT
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-1458
Practice Address - Country:US
Practice Address - Phone:734-846-7276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
MI68010990913104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker