Provider Demographics
NPI:1972873289
Name:BUCHANAN, SARAH (PHD, LCSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BUCHANAN
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:LEE
Other - Last Name:BECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:309 N HOUSTON ST
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37801-4733
Mailing Address - Country:US
Mailing Address - Phone:865-268-9791
Mailing Address - Fax:
Practice Address - Street 1:309 N HOUSTON ST
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37801-4733
Practice Address - Country:US
Practice Address - Phone:865-268-9791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-03
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW93171041C0700X
TN60691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical