Provider Demographics
NPI:1497264055
Name:METZ, SARAH E (LICSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:METZ
Suffix:
Gender:F
Credentials:LICSW
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 157
Mailing Address - Street 2:
Mailing Address - City:WELLS RIVER
Mailing Address - State:VT
Mailing Address - Zip Code:05081-0157
Mailing Address - Country:US
Mailing Address - Phone:802-589-0791
Mailing Address - Fax:
Practice Address - Street 1:14 CREAMERY STREET
Practice Address - Street 2:WELLS RIVER WELLNESS HALL
Practice Address - City:WELLS RIVER
Practice Address - State:VT
Practice Address - Zip Code:05081-0508
Practice Address - Country:US
Practice Address - Phone:802-589-0791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-27
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089.01202691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical