Provider Demographics
NPI:1326169392
Name:BARRETT, SARAH E (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:E
Last Name:BARRETT
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 1:171 JENIFORD RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-4026
Mailing Address - Country:US
Mailing Address - Phone:203-727-1700
Mailing Address - Fax:
Practice Address - Street 1:2228 BLACK ROCK TPKE STE 202
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06825-3237
Practice Address - Country:US
Practice Address - Phone:203-727-1700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004188104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
2222903OtherCIGNA
140004188CT03OtherANTHEM
56140004188CT03OtherBCBC
536510OtherVALUE OPTIONS
760795939OtherPHCS
004249068OtherEDS
186515OtherMHN HEALTHNET
760795939OtherPHCS