Provider Demographics
NPI:1962422626
Name:WARD, SANDRA CATHERINE (MSW, LSCSW)
Entity type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:CATHERINE
Last Name:WARD
Suffix:
Gender:F
Credentials:MSW, LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RUELLE DU GIQUEBON, 22
Mailing Address - Street 2:
Mailing Address - City:WASMES
Mailing Address - State:FOREIGN
Mailing Address - Zip Code:7340
Mailing Address - Country:BE
Mailing Address - Phone:0113247-329-6083
Mailing Address - Fax:
Practice Address - Street 1:RUELLE DU GIQUEBON, 22
Practice Address - Street 2:
Practice Address - City:WASMES
Practice Address - State:FOREIGN
Practice Address - Zip Code:7340
Practice Address - Country:BE
Practice Address - Phone:0113247-329-6083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLSCSW 13341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical