MEDICARE: SARAH BROOKE HONALD LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	C016178	NC

General Provider Information

NPI Number	:	1093367914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH BROOKE HONALD LCSW

Provider Business Mailing Address
First Line	:	146 WILLOWBROOK CIR
Second Line	:
City	:	CLAYTON
State	:	NC
Zip	:	27527-9728
Country	:	US
Telephone Number	:	910-601-2754
Fax Number	:	877-201-0725

Provider Business Practice Location Address
First Line	:	146 WILLOWBROOK CIR
Second Line	:
City	:	CLAYTON
State	:	NC
Zip	:	27527-9728
Country	:	US
Telephone Number	:	910-601-2754
Fax Number	:	910-601-2754

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2019
Last Update Date	:	01/29/2025

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