Provider Demographics
NPI:1437396223
Name:SAWYER, KARA LYNN (LMSW)
Entity Type:Individual
Prefix:MS
First Name:KARA
Middle Name:LYNN
Last Name:SAWYER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 MEMORIAL PKWY
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13501-4818
Mailing Address - Country:US
Mailing Address - Phone:315-792-2210
Mailing Address - Fax:
Practice Address - Street 1:1151 ALBANY ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-3372
Practice Address - Country:US
Practice Address - Phone:315-792-2150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-15
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY077135-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00569860Medicaid