Healthcare Provider Details

I. General information

NPI: 1154534675
Provider Name (Legal Business Name): SARAH GARLICK LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 06/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 MADRONA ST SUITE 1B
MILL VALLEY CA
94941-1845
US

IV. Provider business mailing address

48 LOCUST AVE
MILL VALLEY CA
94941-2173
US

V. Phone/Fax

Practice location:
  • Phone: 415-381-8425
  • Fax:
Mailing address:
  • Phone: 415-381-8425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number27070
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: