Provider Demographics
NPI:1437410768
Name:KAHANA, SARA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:
Last Name:KAHANA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 WESSEX RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-1625
Mailing Address - Country:US
Mailing Address - Phone:617-527-8601
Mailing Address - Fax:
Practice Address - Street 1:34 WESSEX RD
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-1625
Practice Address - Country:US
Practice Address - Phone:617-527-8601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-04
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2030847104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker