Healthcare Provider Details

I. General information

NPI: 1043115256
Provider Name (Legal Business Name): SARAH SPONAUGLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 WILSON BLVD STE 500
ARLINGTON VA
22201-4466
US

IV. Provider business mailing address

3101 WILSON BLVD STE 500
ARLINGTON VA
22201-4466
US

V. Phone/Fax

Practice location:
  • Phone: 703-647-4197
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0906017950
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: