Provider Demographics
NPI:1902147028
Name:SADLER, JANAYA (LCSW)
Entity Type:Individual
Prefix:
First Name:JANAYA
Middle Name:
Last Name:SADLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8512 SIX FORKS ROAD, SUITE 103
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-1827
Mailing Address - Country:US
Mailing Address - Phone:919-322-9529
Mailing Address - Fax:
Practice Address - Street 1:8512 SIX FORKS ROAD, SUITE 103
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-1827
Practice Address - Country:US
Practice Address - Phone:919-322-9529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-14
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0088451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical