Provider Demographics
NPI:1619934585
Name:OLIVER, SARAH E (MSW, LISW)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:E
Last Name:OLIVER
Suffix:
Gender:F
Credentials:MSW, LISW
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:E
Other - Last Name:GLOVER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LISW
Mailing Address - Street 1:1228 S MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52802-2625
Mailing Address - Country:US
Mailing Address - Phone:563-370-1779
Mailing Address - Fax:
Practice Address - Street 1:601 HIGHWAY 6 W
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52246-2292
Practice Address - Country:US
Practice Address - Phone:319-338-0581
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA058751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical