Healthcare Provider Details

I. General information

NPI: 1093944415
Provider Name (Legal Business Name): SARAH LINDSEY HERBERT MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2009
Last Update Date: 07/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1218 GRIEGOS RD NW HOGARES, INC.
ALBUQUERQUE NM
87107
US

IV. Provider business mailing address

1218 GRIEGOS RD NW HOGARES, INC.
ALBUQUERQUE NM
87107
US

V. Phone/Fax

Practice location:
  • Phone: 505-344-4874
  • Fax: 505-345-3093
Mailing address:
  • Phone: 505-344-4874
  • Fax: 505-345-3093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberX-06642
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: