Healthcare Provider Details

I. General information

NPI: 1275459935
Provider Name (Legal Business Name): SARAH WANG JD, LMSW, LGSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

6505 DEMOCRACY BLVD
BETHESDA MD
20817-1688
US

IV. Provider business mailing address

6505 DEMOCRACY BLVD
BETHESDA MD
20817-1688
US

V. Phone/Fax

Practice location:
  • Phone: 240-225-0522
  • Fax:
Mailing address:
  • Phone: 240-225-0522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0903004955
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLG200008936
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34725
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: