Provider Demographics
NPI:1992733521
Name:LOADER, SANDRA CATHERINE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:CATHERINE
Last Name:LOADER
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:CMR 411 BOX 3448
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09112
Mailing Address - Country:DE
Mailing Address - Phone:0966-283-2100
Mailing Address - Fax:
Practice Address - Street 1:CMR 411 BOX 3448
Practice Address - Street 2:
Practice Address - City:APO AE
Practice Address - State:BAYERN
Practice Address - Zip Code:09112
Practice Address - Country:DE
Practice Address - Phone:0966-283-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOSW0045531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical