Provider Demographics
NPI:1427399286
Name:SARAH C WESTON LICSW
Entity Type:Organization
Organization Name:SARAH C WESTON LICSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:C
Authorized Official - Last Name:WESTON
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, MTS
Authorized Official - Phone:978-882-2454
Mailing Address - Street 1:27 CONGRESS ST
Mailing Address - Street 2:STE. 305-6
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-7309
Mailing Address - Country:US
Mailing Address - Phone:978-882-2454
Mailing Address - Fax:978-666-4204
Practice Address - Street 1:27 CONGRESS ST
Practice Address - Street 2:STE. 305-6
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-7309
Practice Address - Country:US
Practice Address - Phone:978-882-2454
Practice Address - Fax:978-666-4204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-04
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1164921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty