Healthcare Provider Details

I. General information

NPI: 1831722701
Provider Name (Legal Business Name): SARA MARRANCA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARA LEIGHTON

II. Dates (important events)

Enumeration Date: 02/19/2020
Last Update Date: 07/19/2021
Certification Date: 07/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4620 17TH ST
SARASOTA FL
34235-1843
US

IV. Provider business mailing address

13812 AMERICAN PRAIRIE PL
BRADENTON FL
34211-2604
US

V. Phone/Fax

Practice location:
  • Phone: 941-371-8820
  • Fax:
Mailing address:
  • Phone: 716-578-2588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number086248
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW17899
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: