Healthcare Provider Details

I. General information

NPI: 1144771734
Provider Name (Legal Business Name): SARA DOWNEY MSW, LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2016
Last Update Date: 08/08/2023
Certification Date: 08/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 BROADWAY ST
VINCENNES IN
47591-1251
US

IV. Provider business mailing address

105 BROADWAY ST
VINCENNES IN
47591-1251
US

V. Phone/Fax

Practice location:
  • Phone: 812-790-2599
  • Fax:
Mailing address:
  • Phone: 812-790-2599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: