Provider Demographics
NPI:1174148407
Name:SEEBECK, SANDRA DAWN (LICSW)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:DAWN
Last Name:SEEBECK
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:DAWN
Other - Last Name:SAUVAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:497 HOOKSETT RD # 363
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-2698
Mailing Address - Country:US
Mailing Address - Phone:603-945-0865
Mailing Address - Fax:603-782-9328
Practice Address - Street 1:497 HOOKSETT RD # 363
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-2698
Practice Address - Country:US
Practice Address - Phone:603-945-0865
Practice Address - Fax:603-782-9328
Is Sole Proprietor?:No
Enumeration Date:2020-06-12
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH23511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical