Basic Information
Provider Information
NPI: 1649458357
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BROWNING
FirstName: SARA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CSW, LSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11622 VALLEY FRG
Address2:  
City: SELLERSBURG
State: IN
PostalCode: 471728402
CountryCode: US
TelephoneNumber: 5024350483
FaxNumber:  
Practice Location
Address1: 1017 DUPONT RD
Address2:  
City: LOUISVILLE
State: KY
PostalCode: 40207
CountryCode: US
TelephoneNumber: 5023654467
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/05/2008
LastUpdateDate: 04/29/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/18/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X6566KYY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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