Provider Demographics
NPI:1962221234
Name:SAGEWORK SOLUTIONS LLC
Entity type:Organization
Organization Name:SAGEWORK SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:STEWART
Authorized Official - Last Name:ENOLD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:703-336-2285
Mailing Address - Street 1:680 CAMPBELL RD
Mailing Address - Street 2:
Mailing Address - City:KESWICK
Mailing Address - State:VA
Mailing Address - Zip Code:22947-2113
Mailing Address - Country:US
Mailing Address - Phone:703-336-2285
Mailing Address - Fax:
Practice Address - Street 1:680 CAMPBELL RD
Practice Address - Street 2:
Practice Address - City:KESWICK
Practice Address - State:VA
Practice Address - Zip Code:22947-2113
Practice Address - Country:US
Practice Address - Phone:434-423-4303
Practice Address - Fax:434-302-9676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-04
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty