MEDICARE: DR. SARAH E. BOLLINGER PHD, 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	LSW0000006278	TN
2	1041C0700X	Clinical Social Worker	2008036068	MO

General Provider Information

NPI Number	:	1538518568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH E. BOLLINGER PHD, LCSW

Provider Business Mailing Address
First Line	:	1128 RIVERWOOD DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37216-2228
Country	:	US
Telephone Number	:	615-988-0122
Fax Number	:

Provider Business Practice Location Address
First Line	:	1128 RIVERWOOD DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37216-2228
Country	:	US
Telephone Number	:	615-988-0122
Fax Number	:

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

Provider Enumeration Date	:	06/09/2016
Last Update Date	:	06/09/2016

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