Provider Demographics
NPI:1972614980
Name:STUBBS, SARA MCDONALD (LICSW)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:MCDONALD
Last Name:STUBBS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2130 UMPTANUM RD
Mailing Address - Street 2:
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-8760
Mailing Address - Country:US
Mailing Address - Phone:206-595-1829
Mailing Address - Fax:
Practice Address - Street 1:2130 UMPTANUM RD
Practice Address - Street 2:
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-8760
Practice Address - Country:US
Practice Address - Phone:206-595-1829
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASWI.LW.615064411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical