Provider Demographics
NPI:1033349493
Name:LUNDAY, SARAH BETH (LICSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:BETH
Last Name:LUNDAY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 COLUMBIA RD STE 101
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:MA
Mailing Address - Zip Code:02359-1853
Mailing Address - Country:US
Mailing Address - Phone:610-787-0968
Mailing Address - Fax:
Practice Address - Street 1:18 COLUMBIA RD STE 101
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:MA
Practice Address - Zip Code:02359-1853
Practice Address - Country:US
Practice Address - Phone:610-787-0968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-20
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW127012101YM0800X
MA1170641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health