Healthcare Provider Details

I. General information

NPI: 1063082691
Provider Name (Legal Business Name): SARA ARTER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2021
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9114 58TH DR E
BRADENTON FL
34202-9074
US

IV. Provider business mailing address

8220 REEFBAY CV
PARRISH FL
34219-1884
US

V. Phone/Fax

Practice location:
  • Phone: 716-640-6956
  • Fax:
Mailing address:
  • Phone: 716-640-6956
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904019075
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW22604
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC06583600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: