Provider Demographics
NPI:1730895541
Name:KANE, SARAH ALEXANDRA (LCSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ALEXANDRA
Last Name:KANE
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 1:3201 TIFFANY CT
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47711-3687
Mailing Address - Country:US
Mailing Address - Phone:812-480-2657
Mailing Address - Fax:
Practice Address - Street 1:3201 TIFFANY CT
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47711-3687
Practice Address - Country:US
Practice Address - Phone:812-480-2657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-25
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34009653A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical