| Doctor Name: | MRS. KRISTI L. SACK |
| NPI Number: | 1093829616 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LISW |
| License Number: | I10247 |
| Business Practice Address: | 10000 Brecksville Rd 116a (b) Louis Stokes Cleveland Va Medical Center Brecksville, OH - 441413204 |
| Business Phone Number: | 4405263030 |
| Business Fax Number: | 4407402382 |
| Mailing Address: | 10000 Brecksville Rd, 116a (b) Louis Stokes Cleveland Va Medical Center BRECKSVILLE |
| State: | OH |
| Postal Code: | 441413204 |
| Phone Number: | 4405263030 |
| Fax Number: | 4407402382 |
| NPI Enumeration Date: | 08/19/2006 |
| NPI Last Update Date: | 08/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I10247 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |