Healthcare Provider Details

I. General information

NPI: 1548189434
Provider Name (Legal Business Name): SARAH ELISABETH HOLT LCSW-S CSAC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1157 S MILITARY HWY STE 104
CHESAPEAKE VA
23320-2352
US

IV. Provider business mailing address

1157 S MILITARY HWY STE 104
CHESAPEAKE VA
23320-2352
US

V. Phone/Fax

Practice location:
  • Phone: 757-447-0871
  • Fax:
Mailing address:
  • Phone: 757-447-0871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0906017683
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: