MEDICARE: SARAH KATHERINE SPENCER 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	105388	TX

General Provider Information

NPI Number	:	1205774064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH KATHERINE SPENCER LCSW

Provider Business Mailing Address
First Line	:	3838 N BRAESWOOD BLVD APT 409
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-3051
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3838 N BRAESWOOD BLVD APT 409
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-3051
Country	:	US
Telephone Number	:	281-461-8142
Fax Number	:

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

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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