Provider Demographics
NPI:1417091935
Name:DUNBAR, SARAH E (MSW)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:E
Last Name:DUNBAR
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1131 BEACON ST
Mailing Address - Street 2:SUITE ONE C
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-5531
Mailing Address - Country:US
Mailing Address - Phone:617-566-0543
Mailing Address - Fax:
Practice Address - Street 1:1131 BEACON ST
Practice Address - Street 2:SUITE ONE C
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-5531
Practice Address - Country:US
Practice Address - Phone:617-566-0543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10167171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP04820OtherBCBS PROVIDER NUMBER
MAP04820Medicare ID - Type UnspecifiedPROVIDER NUMBER