Healthcare Provider Details

I. General information

NPI: 1124653852
Provider Name (Legal Business Name): SARAH BUCHANAN WALSH BSW, MSW, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH ELIZABETH BUCHANAN

II. Dates (important events)

Enumeration Date: 03/03/2020
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 W BOONE AVE STE 850
SPOKANE WA
99201-2353
US

IV. Provider business mailing address

316 W BOONE AVE STE 850
SPOKANE WA
99201-2353
US

V. Phone/Fax

Practice location:
  • Phone: 760-453-0796
  • Fax: 509-984-3702
Mailing address:
  • Phone: 760-453-0796
  • Fax: 509-984-3702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberCG61042075
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW61534549
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberNA60299721
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberCG61042075
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: