Provider Demographics
NPI:1083921647
Name:HANYEN, SARA ELIZABETH (LMSW)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:ELIZABETH
Last Name:HANYEN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 SULLIVAN ST
Mailing Address - Street 2:
Mailing Address - City:ELMIRA
Mailing Address - State:NY
Mailing Address - Zip Code:18840
Mailing Address - Country:US
Mailing Address - Phone:607-733-2901
Mailing Address - Fax:607-733-2597
Practice Address - Street 1:169 SULLIVAN ST
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:18840
Practice Address - Country:US
Practice Address - Phone:607-733-2901
Practice Address - Fax:607-733-2597
Is Sole Proprietor?:No
Enumeration Date:2010-09-02
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY086172104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker