Provider Demographics
NPI:1164724068
Name:RODRIGUEZ-BEERMAN, SARAH J (LICSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:J
Last Name:RODRIGUEZ-BEERMAN
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 1:270 ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02907-1524
Mailing Address - Country:US
Mailing Address - Phone:401-578-2462
Mailing Address - Fax:866-549-1545
Practice Address - Street 1:270 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02907-1524
Practice Address - Country:US
Practice Address - Phone:401-578-2462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-28
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1160791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical