Provider Demographics
NPI:1104177955
Name:PERSONS, SARAH KATHERINE
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:KATHERINE
Last Name:PERSONS
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:KATHERINE
Other - Last Name:GINSBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:12 GEORGE ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-3011
Mailing Address - Country:US
Mailing Address - Phone:347-267-3038
Mailing Address - Fax:
Practice Address - Street 1:12 GEORGE ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-3011
Practice Address - Country:US
Practice Address - Phone:347-267-3038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-19
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2181011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical