Provider Demographics
NPI:1497079321
Name:SWENSON, SARAH S (LCSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:S
Last Name:SWENSON
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:PO BOX 711
Mailing Address - Street 2:
Mailing Address - City:KENNEBUNK
Mailing Address - State:ME
Mailing Address - Zip Code:04043-0711
Mailing Address - Country:US
Mailing Address - Phone:207-468-3984
Mailing Address - Fax:
Practice Address - Street 1:62 PORTLAND RD STE 46
Practice Address - Street 2:
Practice Address - City:KENNEBUNK
Practice Address - State:ME
Practice Address - Zip Code:04043-6650
Practice Address - Country:US
Practice Address - Phone:207-468-3984
Practice Address - Fax:888-834-9260
Is Sole Proprietor?:No
Enumeration Date:2010-03-22
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC120601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical