Individual ProviderSara J CristieSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5965 S 900 E, Salt Lake City, UT 84121-1720(801) 263-7100PECOS EnrollmentBased on the most recent information from CMS, provider Sara J Cristie does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1174569149Provider TypeIndividualFull NameCristie, Sara JCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date6/20/2006Last Updated8/9/2012Contact InformationPractice LocationPractice Address5965 S 900 E, Salt Lake City, UT 84121-1720Phone(801) 263-7100Fax(801) 263-7123Mailing LocationMailing Address5965 S 900 E, Salt Lake City, UT 84121-1720Phone(801) 263-7100Fax(801) 263-7123Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense310550-3501Utah