Provider Demographics
NPI:1912931916
Name:SCHLESINGER, SARAH C (LCSW)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:C
Last Name:SCHLESINGER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:C
Other - Last Name:COFFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 176
Mailing Address - Street 2:
Mailing Address - City:CHEROKEE VILLAGE
Mailing Address - State:AR
Mailing Address - Zip Code:72525-0176
Mailing Address - Country:US
Mailing Address - Phone:870-257-3336
Mailing Address - Fax:870-257-3339
Practice Address - Street 1:# 4 E CHEROKEE VILLAGE MALL
Practice Address - Street 2:
Practice Address - City:CHEROKEE VILLAGE
Practice Address - State:AR
Practice Address - Zip Code:72529-0176
Practice Address - Country:US
Practice Address - Phone:870-257-3336
Practice Address - Fax:870-257-3339
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1143-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5T115OtherBLUECROSS BLUESHIELD
AR5T115OtherBLUECROSS BLUESHIELD