Provider Demographics
NPI:1407531064
Name:SARAH ANDREW-MADISON, LCSW, PSYCHOTHERAPY PLLC
Entity Type:Organization
Organization Name:SARAH ANDREW-MADISON, LCSW, PSYCHOTHERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREW-MADISON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:646-859-2028
Mailing Address - Street 1:511 W 232ND ST APT W44
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-3533
Mailing Address - Country:US
Mailing Address - Phone:646-859-2028
Mailing Address - Fax:929-560-2725
Practice Address - Street 1:511 W 232ND ST APT W44
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-3533
Practice Address - Country:US
Practice Address - Phone:646-859-2028
Practice Address - Fax:929-560-2725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-20
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty