Gore, Sarah J
Gore, Sarah J is an individual health care provider with primary practice located at 353 E 8Th St , Mountain Home AR 72653-4423. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gore, Sarah J can be contacted via phone (870) 701-5141.Contact Information
Primary practice address
353 E 8Th St
Mountain Home AR 72653-4423
Phone: (870) 701-5141
Fax: (870) 701-5177
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | Arkansas | |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6603C | Arkansas |
Profile Details
NPI number | 1639458060 |
---|---|
LBN Legal business name | Gore, Sarah J |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 16th, 2011 |
Last updated | Sep 30th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639458060 | NPPES |
Arkansas | MEDICAID | 183116795 |
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