Provider Demographics
NPI:1679995005
Name:KOCHANSKI, SARA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:
Last Name:KOCHANSKI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 S COLUMBIAN WAY
Mailing Address - Street 2:S-123-PCC
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-1532
Mailing Address - Country:US
Mailing Address - Phone:206-277-4902
Mailing Address - Fax:206-764-2936
Practice Address - Street 1:1660 S COLUMBIAN WAY
Practice Address - Street 2:S-123-PCC
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-1532
Practice Address - Country:US
Practice Address - Phone:206-277-4902
Practice Address - Fax:206-764-2936
Is Sole Proprietor?:No
Enumeration Date:2014-01-21
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC60424614104100000X
SC11277104100000X
HILCSW-41681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker