Provider Demographics
NPI:1851661060
Name:CHAKALES, SARAH ZEANAH (LCSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ZEANAH
Last Name:CHAKALES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ZEANAH
Other - Last Name:SANDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:400 SLEEPY HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-7130
Mailing Address - Country:US
Mailing Address - Phone:804-512-7880
Mailing Address - Fax:804-364-2142
Practice Address - Street 1:5412 GLENSIDE DR
Practice Address - Street 2:SUITE F
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23228-3995
Practice Address - Country:US
Practice Address - Phone:804-282-5880
Practice Address - Fax:804-288-2029
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040018561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical