Provider Demographics
NPI:1083888929
Name:PARGANOS, SARA E (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:E
Last Name:PARGANOS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:SGOBBO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1900 2ND AVE FL 9
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-7406
Mailing Address - Country:US
Mailing Address - Phone:212-360-7400
Mailing Address - Fax:212-348-7253
Practice Address - Street 1:1900 SECOND AVENUE 9TH FLOOR
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-360-7893
Practice Address - Fax:212-360-7487
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2013-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0754411101Y00000X
NY078025-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor