Provider Demographics
NPI:1346003274
Name:SARAH LEBLANC LICSW INC
Entity Type:Organization
Organization Name:SARAH LEBLANC LICSW INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:LEBLANC
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:508-500-1482
Mailing Address - Street 1:500 E WASHINGTON ST UNIT 64
Mailing Address - Street 2:
Mailing Address - City:NORTH ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02760-6324
Mailing Address - Country:US
Mailing Address - Phone:508-500-1482
Mailing Address - Fax:508-213-3785
Practice Address - Street 1:500 E WASHINGTON ST UNIT 64
Practice Address - Street 2:
Practice Address - City:NORTH ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02760-6324
Practice Address - Country:US
Practice Address - Phone:508-500-1482
Practice Address - Fax:508-213-3785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty