Provider Demographics
NPI:1992470090
Name:FARMER, SARA (LSW)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:FARMER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8191 E NORTHSHORE DR
Mailing Address - Street 2:
Mailing Address - City:UNIONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47468-9768
Mailing Address - Country:US
Mailing Address - Phone:812-322-1226
Mailing Address - Fax:
Practice Address - Street 1:803 N MONROE ST
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47404-3321
Practice Address - Country:US
Practice Address - Phone:812-322-1226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-11
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33009750A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical