Healthcare Provider Details

I. General information

NPI: 1992136782
Provider Name (Legal Business Name): SARAH ELIZABETH CARR LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2013
Last Update Date: 12/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2534 VICTORY PKWY
CINCINNATI OH
45206-2004
US

IV. Provider business mailing address

2534 VICTORY PKWY
CINCINNATI OH
45206-2004
US

V. Phone/Fax

Practice location:
  • Phone: 513-363-1839
  • Fax:
Mailing address:
  • Phone: 513-363-1839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberS1200545
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: