Healthcare Provider Details

I. General information

NPI: 1447247192
Provider Name (Legal Business Name): SARAH ANN ROBILLARD LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH ANN MORRIS LCSW

II. Dates (important events)

Enumeration Date: 09/28/2005
Last Update Date: 03/06/2023
Certification Date: 03/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

LANDSTUHL REGIONAL MEDICAL CENTER UNIT 33100
APO AE
09180-3100
US

IV. Provider business mailing address

CMR 427 BOX 2362
APO AE
09630-0024
US

V. Phone/Fax

Practice location:
  • Phone: 314-636-9575
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLCSW-11712
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09923621
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW11712
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: