Healthcare Provider Details

I. General information

NPI: 1720366362
Provider Name (Legal Business Name): SARAH CATHERINE SMITH MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2011
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1698 LIBERTY ST SE
SALEM OR
97302-4348
US

IV. Provider business mailing address

907 KINGWOOD DR NW
SALEM OR
97304-2735
US

V. Phone/Fax

Practice location:
  • Phone: 503-383-1495
  • Fax: 503-967-7151
Mailing address:
  • Phone: 503-803-3651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: