Healthcare Provider Details

I. General information

NPI: 1093488694
Provider Name (Legal Business Name): SARAH BETH ALCABES LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2021
Last Update Date: 01/24/2024
Certification Date: 01/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3912 GEORGIA AVE NW
WASHINGTON DC
20011-5861
US

IV. Provider business mailing address

3912 GEORGIA AVE NW
WASHINGTON DC
20011-5861
US

V. Phone/Fax

Practice location:
  • Phone: 844-796-2797
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC200002937
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLG50083745
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: