MEDICARE: SARA O'TOOLE 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	1041C0700X	Clinical Social Worker	13269	TN

General Provider Information

NPI Number	:	1811689987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA O'TOOLE LMSW

Provider Business Mailing Address
First Line	:	3523 PERRY ST
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37411-2762
Country	:	US
Telephone Number	:	231-288-9355
Fax Number	:

Provider Business Practice Location Address
First Line	:	6918 SHALLOWFORD RD STE 317
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421-1783
Country	:	US
Telephone Number	:	423-855-7977
Fax Number	:	423-855-7976

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

Provider Enumeration Date	:	05/25/2023
Last Update Date	:	05/25/2023

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Directions to “ SARA O'TOOLE LMSW” Practice Location

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