Provider Demographics
NPI:1861276842
Name:CASTLE, SARAH KATE (LLMSW)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:KATE
Last Name:CASTLE
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 W CANFIELD ST APT 207
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48208-2727
Mailing Address - Country:US
Mailing Address - Phone:347-316-1424
Mailing Address - Fax:
Practice Address - Street 1:3225 VAN HORN RD STE 110
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:MI
Practice Address - Zip Code:48183-7000
Practice Address - Country:US
Practice Address - Phone:734-408-1149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68511154631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical