Healthcare Provider Details

I. General information

NPI: 1558288803
Provider Name (Legal Business Name): SANDRA SALTER MAHAR LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 DOUBLE BRIDGE DR
WHITTIER NC
28789-8354
US

IV. Provider business mailing address

PO BOX 337
WHITTIER NC
28789-0337
US

V. Phone/Fax

Practice location:
  • Phone: 828-506-0777
  • Fax: 828-359-7102
Mailing address:
  • Phone: 828-506-0777
  • Fax: 828-359-7102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC004136
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: