Individual
MS. ELIZABETH ANNA SAGE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LICSW,MAC
Contact information
Practice address
289 IRELAND AVE, IRELAND ARMYCOMMUNITY HOSPITAL, FORT KNOX, KY 40121-5111
(502) 624-9007
(502) 624-9549
Mailing address
289 IRELAND AVE, IRELAND ARMYCOMMUNITY HOSPITAL, FORT KNOX, KY 40121-5111
(502) 624-9007
(502) 624-9549
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
NBAECERTIFICATE24589
NV
1041C0700X
Clinical Social Worker
LW00006723
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CERTIFICATE 24589
MASTER ADDICTION COUNSELO
NV
01
—
LW00006723
SICAL WORK LICENSE
WA
Enumeration date
02/18/2006
Last updated
09/11/2025
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