MEDICARE: SARAH PRATHER ALONSO LMSW

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	104100000X	Social Worker	34287	MD
2	104100000X	Social Worker	0903004760	VA

General Provider Information

NPI Number	:	1669167821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH PRATHER ALONSO LMSW

Provider Business Mailing Address
First Line	:	1018 MONROE ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20017-1760
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 CRYSTAL DR APT 623
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22202-4124
Country	:	US
Telephone Number	:	706-570-3476
Fax Number	:

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

Provider Enumeration Date	:	04/05/2023
Last Update Date	:	01/16/2026

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