Provider Demographics
NPI:1205197282
Name:MARCUS, SARAH (LICSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MARCUS
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:PO BOX 503
Mailing Address - Street 2:
Mailing Address - City:LEVERETT
Mailing Address - State:MA
Mailing Address - Zip Code:01054-0503
Mailing Address - Country:US
Mailing Address - Phone:413-549-3839
Mailing Address - Fax:
Practice Address - Street 1:26 S PROSPECT ST
Practice Address - Street 2:OFFICE # 17
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2362
Practice Address - Country:US
Practice Address - Phone:413-772-9447
Practice Address - Fax:503-914-0390
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-06
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1168921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical