Individual
CATHERINE SACKS, LCSW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 ROSE HILL DR, SUITE 201, CHARLOTTESVILLE, VA 22903-5159
(434) 979-0401
(434) 220-3335
Mailing address
1110 ROSE HILL DR, SUITE 201, CHARLOTTESVILLE, VA 22903-5159
(434) 979-0401
(434) 220-3335
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002205
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008944512
—
VA
01
—
083485
SENTARA BEHAVIORAL HEALTH
VA
01
—
141570
ANTHEM
VA
Enumeration date
08/01/2006
Last updated
08/28/2013
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