Basic Information
| Provider Information | |||||||||
| NPI: | 1326508342 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCNAIR | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | |||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 12 | ||||||||
| Address2: | |||||||||
| City: | LIBERTY LAKE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 990190012 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4062734923 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 5549 US HIGHWAY 93 N | ||||||||
| Address2: | |||||||||
| City: | FLORENCE | ||||||||
| State: | MT | ||||||||
| PostalCode: | 598336845 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4062734923 | ||||||||
| FaxNumber: | 4063294174 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/25/2019 | ||||||||
| LastUpdateDate: | 11/09/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/09/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | BBH-LCSW-LIC-37331 | MT | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.