Provider Demographics
NPI:1992283436
Name:ROESLER, SARA J (LCSW)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:J
Last Name:ROESLER
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 1:117 SADDLE RIVER RD
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-4421
Mailing Address - Country:US
Mailing Address - Phone:919-244-7888
Mailing Address - Fax:
Practice Address - Street 1:117 SADDLE RIVER RD
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-4421
Practice Address - Country:US
Practice Address - Phone:919-244-7888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-06
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0097261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical