Healthcare Provider Details

I. General information

NPI: 1215449848
Provider Name (Legal Business Name): CAROLINE SAHR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2017
Last Update Date: 02/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6059 ARLINGTON BLVD STE B
FALLS CHURCH VA
22044-2721
US

IV. Provider business mailing address

6059 ARLINGTON BLVD STE B
FALLS CHURCH VA
22044-2721
US

V. Phone/Fax

Practice location:
  • Phone: 703-819-6177
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904009724
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: