Healthcare Provider Details

I. General information

NPI: 1518318575
Provider Name (Legal Business Name): SARAH ARNALL LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2016
Last Update Date: 10/16/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2105 MARTIN LUTHER KING JR WAY FL 1
BERKELEY CA
94704-1108
US

IV. Provider business mailing address

501 LAPEER AVE
SAGINAW MI
48607-1203
US

V. Phone/Fax

Practice location:
  • Phone: 510-900-9964
  • Fax:
Mailing address:
  • Phone: 989-759-6470
  • Fax: 989-759-6418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801099036
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801103744
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number117529
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: