Healthcare Provider Details

I. General information

NPI: 1821489030
Provider Name (Legal Business Name): SARA MELISSA FELDMAN KUHN LCSW-C, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARA FELDMAN

II. Dates (important events)

Enumeration Date: 02/10/2015
Last Update Date: 09/28/2021
Certification Date: 09/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2217 PRINCESS ANNE ST STE 328
FREDERICKSBURG VA
22401-3353
US

IV. Provider business mailing address

2217 PRINCESS ANNE ST STE 328
FREDERICKSBURG VA
22401-3353
US

V. Phone/Fax

Practice location:
  • Phone: 240-449-4047
  • Fax:
Mailing address:
  • Phone: 240-449-4047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number17955
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904011093
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: