Provider Demographics
NPI:1275721375
Name:COWAN, SARAH ELLEN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:ELLEN
Last Name:COWAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 GREENWICH AVE
Mailing Address - Street 2:SUITE 11J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-2701
Mailing Address - Country:US
Mailing Address - Phone:212-473-5269
Mailing Address - Fax:
Practice Address - Street 1:33 GREENWICH AVE
Practice Address - Street 2:SUITE 11J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-2701
Practice Address - Country:US
Practice Address - Phone:212-473-5269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0177671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical