Healthcare Provider Details

I. General information

NPI: 1184562068
Provider Name (Legal Business Name): SARAH THAYER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N SILVER ST
TRUTH OR CONSEQUENCES NM
87901-1966
US

IV. Provider business mailing address

914 N DATE ST
TRUTH OR CONSEQUENCES NM
87901-1748
US

V. Phone/Fax

Practice location:
  • Phone: 575-894-8372
  • Fax:
Mailing address:
  • Phone: 575-894-8166
  • Fax: 575-894-5101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberSWB-2025-0910
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: