Provider Demographics
NPI:1285222422
Name:PEREL, SARALEE (LICSW)
Entity Type:Individual
Prefix:
First Name:SARALEE
Middle Name:
Last Name:PEREL
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 1:1020 OSTERVILLE WEST BARNSTABLE RD
Mailing Address - Street 2:
Mailing Address - City:MARSTONS MILLS
Mailing Address - State:MA
Mailing Address - Zip Code:02648-1210
Mailing Address - Country:US
Mailing Address - Phone:508-428-8676
Mailing Address - Fax:
Practice Address - Street 1:1020 OSTERVILLE WEST BARNSTABLE RD
Practice Address - Street 2:
Practice Address - City:MARSTONS MILLS
Practice Address - State:MA
Practice Address - Zip Code:02648-1210
Practice Address - Country:US
Practice Address - Phone:508-428-8676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1004941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty