Provider Demographics
NPI:1538547989
Name:MARTINEZ, SARA S (LMSW)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:S
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:SARA
Other - Middle Name:B
Other - Last Name:SCHLAGEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:7840 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66112-2152
Mailing Address - Country:US
Mailing Address - Phone:913-328-4600
Mailing Address - Fax:
Practice Address - Street 1:1561 E SYLVIA ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-3030
Practice Address - Country:US
Practice Address - Phone:913-235-8456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-18
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS9160104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100098080AMedicaid
KS100098080COtherSED WAIVER
KS3620000Medicare PIN