Provider Demographics
NPI:1588305106
Name:CARRAWAY, SIERRA (LSW)
Entity type:Individual
Prefix:
First Name:SIERRA
Middle Name:
Last Name:CARRAWAY
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5022 MOUNT EATON RD
Mailing Address - Street 2:
Mailing Address - City:ORRVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44667-9124
Mailing Address - Country:US
Mailing Address - Phone:330-988-4905
Mailing Address - Fax:
Practice Address - Street 1:5022 MOUNT EATON RD
Practice Address - Street 2:
Practice Address - City:ORRVILLE
Practice Address - State:OH
Practice Address - Zip Code:44667-9124
Practice Address - Country:US
Practice Address - Phone:330-988-4905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker