| Doctor Name: | KRISTIN SAGERT |
| NPI Number: | 1538173893 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LISW |
| License Number: | I-3773 |
| Business Practice Address: | 185 Tierra Encantada Corrales, NM - 870486811 |
| Business Phone Number: | 5058907686 |
| Business Fax Number: | 5058909432 |
| Mailing Address: | 185 Tierra Encantada, CORRALES |
| State: | NM |
| Postal Code: | 870486811 |
| Phone Number: | 5058907686 |
| Fax Number: | 5058909432 |
| NPI Enumeration Date: | 07/29/2006 |
| NPI Last Update Date: | 10/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I-3773 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |