Healthcare Provider Details

I. General information

NPI: 1861329351
Provider Name (Legal Business Name): SARA PASIAK LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2132 PAULINE BLVD APT 305
ANN ARBOR MI
48103-5180
US

IV. Provider business mailing address

2132 PAULINE BLVD APT 305
ANN ARBOR MI
48103-5180
US

V. Phone/Fax

Practice location:
  • Phone: 313-550-6630
  • Fax:
Mailing address:
  • Phone: 313-550-6630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6851118802
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: