Provider Demographics
NPI:1598235483
Name:EMERITZ, SARAH (LMSW)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:EMERITZ
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 1:310 MILLER AVE STE 147
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-3373
Mailing Address - Country:US
Mailing Address - Phone:734-884-8586
Mailing Address - Fax:
Practice Address - Street 1:310 MILLER AVE STE 147
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-3373
Practice Address - Country:US
Practice Address - Phone:734-884-8586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-04
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010990731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical