Provider Demographics
NPI:1770936957
Name:OLIVAS, SARAH LYNN (LCSW, LCADC)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:LYNN
Last Name:OLIVAS
Suffix:
Gender:F
Credentials:LCSW, LCADC
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:LYNN
Other - Last Name:VERNESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 980
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89440-0980
Mailing Address - Country:US
Mailing Address - Phone:775-847-9311
Mailing Address - Fax:775-847-3054
Practice Address - Street 1:415 US HIGHWAY 95A S BLDG D
Practice Address - Street 2:
Practice Address - City:FERNLEY
Practice Address - State:NV
Practice Address - Zip Code:89408-9261
Practice Address - Country:US
Practice Address - Phone:775-847-9311
Practice Address - Fax:775-847-0354
Is Sole Proprietor?:No
Enumeration Date:2016-07-22
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1770936957Medicaid