Healthcare Provider Details

I. General information

NPI: 1356352785
Provider Name (Legal Business Name): SARAH A ZINN LISW-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH A SHOOK

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

860 VALLEY STREET
DAYTON OH
45404-2066
US

IV. Provider business mailing address

PO BOX 933421
CLEVELAND OH
44193-0039
US

V. Phone/Fax

Practice location:
  • Phone: 937-641-3060
  • Fax: 937-641-3285
Mailing address:
  • Phone: 937-641-5072
  • Fax: 937-641-6129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.0800109-S
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: