Provider Demographics
NPI:1255666947
Name:DUGGAN, SARAH U
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:U
Last Name:DUGGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:U
Other - Last Name:HEWAT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:995 WORTHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01109-4027
Mailing Address - Country:US
Mailing Address - Phone:844-642-9355
Mailing Address - Fax:413-732-0309
Practice Address - Street 1:585 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-1906
Practice Address - Country:US
Practice Address - Phone:508-831-0045
Practice Address - Fax:508-753-5051
Is Sole Proprietor?:No
Enumeration Date:2009-10-14
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM18633OtherBLUE CROSS
MA1004745OtherNHP
MA1306421Medicaid
MANP01332OtherBMC
MA1303287Medicaid
MAM18684OtherBLUE CROSS
MA1303287Medicaid