Basic Information
| Provider Information | |||||||||
| NPI: | 1124487467 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCLAUGHLIN | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | BETH | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5601 TRACE CREEK PASS | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 78724 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7132028593 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1631 E. 2ND ST. | ||||||||
| Address2: | BLDG. E | ||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 78702 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5128043650 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/15/2016 | ||||||||
| LastUpdateDate: | 10/27/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 10/27/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 61822 | TX | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.