Provider Demographics
NPI:1497898373
Name:SAWYER, ROBIN B (LICSW)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:B
Last Name:SAWYER
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 1:64 ARLINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-5922
Mailing Address - Country:US
Mailing Address - Phone:617-875-8951
Mailing Address - Fax:
Practice Address - Street 1:63 PARK ST
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-3662
Practice Address - Country:US
Practice Address - Phone:978-475-1617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10326141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP08577OtherBLUE CROSS BLUE SHIELD
MASA-P23883Medicare ID - Type Unspecified