Provider Demographics
NPI:1770895278
Name:EBERLY, SARAH SCHURMAN (LCSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:SCHURMAN
Last Name:EBERLY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:M
Other - Last Name:SCHURMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2701 AIRLINE DR STE K256
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-5999
Mailing Address - Country:US
Mailing Address - Phone:646-637-7272
Mailing Address - Fax:
Practice Address - Street 1:2701 AIRLINE DR STE K256
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-5999
Practice Address - Country:US
Practice Address - Phone:646-637-7272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-13
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA105281041C0700X
NY730768821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical