Provider Demographics
NPI:1114973047
Name:CLOW, SARAH (LCSW-C)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:CLOW
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28957 OLD FARM RD
Mailing Address - Street 2:
Mailing Address - City:WYE MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21679-2052
Mailing Address - Country:US
Mailing Address - Phone:203-671-1175
Mailing Address - Fax:
Practice Address - Street 1:28957 OLD FARM RD
Practice Address - Street 2:
Practice Address - City:WYE MILLS
Practice Address - State:MD
Practice Address - Zip Code:21679-2052
Practice Address - Country:US
Practice Address - Phone:203-671-1175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0058301041C0700X
MD162271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical