Sarah E Perrenoud, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1500093 Issued in OH

Practice address

1199 S 2ND St
Coshocton, OH 43812-1920

Phone

(740) 622-4470

Fax

(740) 622-5520

NPI assigned

Jul 6, 2016

Last updated

Jul 6, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Sarah E Clark Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1073965703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 S 2ND ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121920",
            "telephone_number": "740-622-4470",
            "fax_number": "740-622-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 S 2ND ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121920",
            "telephone_number": "740-622-4470",
            "fax_number": "740-622-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRENOUD",
        "first_name": "SARAH",
        "middle_name": "E",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1500093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "CLARK",
            "middle_name": "E",
            "credential": "LISW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rajendra M Patel, D.O.
• Ruchita H Patel
• Kerri Pearch, NP-C
• Derek Pennybaker
• Tiffany Perdue, LSW
• Angela Peters
• Katrina Karr Pfander, MS, CCC-SLP
• Suzanne Leeann Philabaum
• Pine Meadows Wellness LLC
• Jody Pope

• Clinical Social Worker in Coshocton, OH
• Providers in Coshocton, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.