Provider Demographics
NPI:1043818875
Name:SARA SCHOENHORN LCSW
Entity type:Organization
Organization Name:SARA SCHOENHORN LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOENHORN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:949-512-9797
Mailing Address - Street 1:7 ROCKWREN
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-3325
Mailing Address - Country:US
Mailing Address - Phone:949-512-9797
Mailing Address - Fax:
Practice Address - Street 1:7 ROCKWREN
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-3325
Practice Address - Country:US
Practice Address - Phone:949-512-9797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health