Provider Demographics
NPI:1043083264
Name:WALTER, SARAH CATHERINE (LISW-S)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:CATHERINE
Last Name:WALTER
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:MRS
Other - First Name:SARAH
Other - Middle Name:CATHERINE
Other - Last Name:WALTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISW-S
Mailing Address - Street 1:1914 SHALLOWFORD AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-2032
Mailing Address - Country:US
Mailing Address - Phone:937-528-9270
Mailing Address - Fax:
Practice Address - Street 1:1914 SHALLOWFORD AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-2032
Practice Address - Country:US
Practice Address - Phone:937-528-9270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.2103136-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical