| Doctor Name: | SARA BARTLETT |
| NPI Number: | 1780060574 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | LCSW25746 |
| Business Practice Address: | 1775 5th St Los Osos, CA - 934022109 |
| Business Phone Number: | 8055400407 |
| Business Fax Number: | |
| Mailing Address: | Po Box 5051, SAN LUIS OBISPO |
| State: | CA |
| Postal Code: | 934035051 |
| Phone Number: | 8055400407 |
| Fax Number: | |
| NPI Enumeration Date: | 08/04/2015 |
| NPI Last Update Date: | 08/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCSW25746 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |