MEDICARE: SARAH LEVERONI LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	63280	TX

General Provider Information

NPI Number	:	1932817392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH LEVERONI LCSW

Provider Business Mailing Address
First Line	:	1500 UNIVERSITY DR E STE 100
Second Line	:
City	:	COLLEGE STATION
State	:	TX
Zip	:	77840-2600
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 UNIVERSITY DR E STE 100
Second Line	:
City	:	COLLEGE STATION
State	:	TX
Zip	:	77840-2600
Country	:	US
Telephone Number	:	979-383-2340
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2022
Last Update Date	:	11/14/2022

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Directions to “ SARAH LEVERONI LCSW” Practice Location

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