Provider Demographics
NPI:1477746832
Name:WORCESTER, SARAH R
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:R
Last Name:WORCESTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 GREEN RD
Mailing Address - Street 2:
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06450-6612
Mailing Address - Country:US
Mailing Address - Phone:203-235-8225
Mailing Address - Fax:
Practice Address - Street 1:90 GREEN RD
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06450-6612
Practice Address - Country:US
Practice Address - Phone:203-235-8225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker