Provider Demographics
NPI:1306382981
Name:MULHALL, SARAH JEAN (LMSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JEAN
Last Name:MULHALL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 DEERWOOD CT
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-1151
Mailing Address - Country:US
Mailing Address - Phone:518-369-3012
Mailing Address - Fax:
Practice Address - Street 1:5 DEERWOOD CT
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-1151
Practice Address - Country:US
Practice Address - Phone:518-369-3012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-06
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY096037-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker