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NPI Code Detail

MEDICARE: SARAH CARLSON

MEDICARE: SARAH CARLSON
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
11041C0700XClinical Social Worker0904019970VA

General Provider Information

NPI Number : 1407797269
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH CARLSON
Provider Business Mailing Address
First Line : 222 W 19TH ST
Second Line :
City : NORFOLK
State : VA
Zip : 23517-2218
Country : US
Telephone Number : 757-622-7017
Fax Number : 757-333-3273
Provider Business Practice Location Address
First Line : 222 W 19TH ST
Second Line :
City : NORFOLK
State : VA
Zip : 23517-2218
Country : US
Telephone Number : 757-622-7017
Fax Number : 757-333-3273
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2026
Last Update Date : 04/03/2026

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Directions to “ SARAH CARLSON ” Practice Location

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