MEDICARE: SARAH F O'BRIEN 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	0904008615	VA

General Provider Information

NPI Number	:	1134429400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH F O'BRIEN LCSW

Provider Business Mailing Address
First Line	:	8605 ROLANDO DR
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23229-5625
Country	:	US
Telephone Number	:	434-939-7085
Fax Number	:

Provider Business Practice Location Address
First Line	:	8401 PATTERSON AVE
Second Line	:	G101
City	:	RICHMOND
State	:	VA
Zip	:	23229-6430
Country	:	US
Telephone Number	:	434-939-7085
Fax Number	:

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

Provider Enumeration Date	:	11/02/2010
Last Update Date	:	08/24/2016

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