Provider Demographics
NPI:1407579360
Name:HUERTAS, SARAH J (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:J
Last Name:HUERTAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:J
Other - Last Name:HUERTAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:15 EVERGREEN TRL
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:NJ
Mailing Address - Zip Code:07462-3491
Mailing Address - Country:US
Mailing Address - Phone:516-236-2800
Mailing Address - Fax:
Practice Address - Street 1:15 EVERGREEN TRL
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:NJ
Practice Address - Zip Code:07462-3491
Practice Address - Country:US
Practice Address - Phone:516-236-2800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-26
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC061909001041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical