Provider Demographics
NPI:1598575979
Name:SPENCER, SARAH MCKENZIE (MSW, LCSW-A)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:MCKENZIE
Last Name:SPENCER
Suffix:
Gender:F
Credentials:MSW, LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3611 UNIVERSITY DR APT 5N
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-6211
Mailing Address - Country:US
Mailing Address - Phone:336-416-2716
Mailing Address - Fax:
Practice Address - Street 1:3500 WESTGATE DR STE 203
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-2540
Practice Address - Country:US
Practice Address - Phone:336-416-2716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0201181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical