Provider Demographics
NPI:1316197890
Name:MEEHAN, SARAH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:
Last Name:MEEHAN
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 1:205 E 95TH ST
Mailing Address - Street 2:APT 24E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-4014
Mailing Address - Country:US
Mailing Address - Phone:781-799-3995
Mailing Address - Fax:
Practice Address - Street 1:205 E 95TH ST
Practice Address - Street 2:APT 24E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-4014
Practice Address - Country:US
Practice Address - Phone:781-799-3995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-22
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0773691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical