Provider Demographics
NPI:1982375754
Name:MACHOLD, SARAH (LCSW)
Entity type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:
Last Name:MACHOLD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6107 HORSE FARM LN
Mailing Address - Street 2:
Mailing Address - City:PORT REPUBLIC
Mailing Address - State:VA
Mailing Address - Zip Code:24471-2634
Mailing Address - Country:US
Mailing Address - Phone:540-466-3140
Mailing Address - Fax:
Practice Address - Street 1:6107 HORSE FARM LN
Practice Address - Street 2:
Practice Address - City:PORT REPUBLIC
Practice Address - State:VA
Practice Address - Zip Code:24471-2634
Practice Address - Country:US
Practice Address - Phone:540-607-6910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-22
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAPPS-06045821041S0200X
VA09040130991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool