Healthcare Provider Details

I. General information

NPI: 1124958947
Provider Name (Legal Business Name): SARAH PAQUETTE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 EDNAM CTR STE 3
CHARLOTTESVILLE VA
22903-4617
US

IV. Provider business mailing address

2311 GROVE AVE APT 1
RICHMOND VA
23220-4413
US

V. Phone/Fax

Practice location:
  • Phone: 434-233-0585
  • Fax:
Mailing address:
  • Phone: 703-638-4590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0904020372
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: