Provider Demographics
NPI:1144391418
Name:HOLCH, SARAH MENOYO (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:MENOYO
Last Name:HOLCH
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 1:2 WALKER RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01944-1031
Mailing Address - Country:US
Mailing Address - Phone:978-526-4997
Mailing Address - Fax:978-880-7894
Practice Address - Street 1:133 SYLVAN ST
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923
Practice Address - Country:US
Practice Address - Phone:978-290-8889
Practice Address - Fax:978-880-7894
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1140881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA211076OtherLCSW