Basic Information
| Provider Information | |||||||||
| NPI: | 1366748758 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SACHS | ||||||||
| FirstName: | LAURA | ||||||||
| MiddleName: | MARINONI | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MSW, LICSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6391 NE TOLO RD | ||||||||
| Address2: | |||||||||
| City: | BAINBRIDGE ISLAND | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981103475 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2068421335 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 9505 S STEELE ST | ||||||||
| Address2: | |||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984441858 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2535976800 | ||||||||
| FaxNumber: | 2535976888 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/01/2011 | ||||||||
| LastUpdateDate: | 04/14/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 04/14/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | LW00004044 | WA | N | Behavioral Health & Social Service Providers | Social Worker | 1041C0700X | LW00004044 | WA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.