Willoughby, Sarah Annette

Willoughby, Sarah Annette is an individual health care provider with primary practice located at 1030 Mcintosh Cir Ste 1 , Joplin MO 64804-3690. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Willoughby, Sarah Annette can be contacted via phone (417) 347-8750.

Contact Information

Primary practice address
1030 Mcintosh Cir Ste 1 Joplin MO 64804-3690
Phone: (417) 347-8750
Fax: (417) 347-8788
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 005975 Missouri

Profile Details

NPI number 1962494161
LBN Legal business name Willoughby, Sarah Annette
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jun 10th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962494161 NPPES
California MEDICAID PSIX995
California Other 34736011
California MEDICAID 496014002

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