Healthcare Provider Details

I. General information

NPI: 1164326096
Provider Name (Legal Business Name): SARAH MARLOW EGRESI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10455 WHITE GRANITE DR STE 400
OAKTON VA
22124-2764
US

IV. Provider business mailing address

5102 HARFORD LN
BURKE VA
22015-1510
US

V. Phone/Fax

Practice location:
  • Phone: 703-622-7566
  • Fax: 703-448-3723
Mailing address:
  • Phone: 757-768-1162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904011558
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: