Provider Demographics
NPI:1497954135
Name:SARAH, BARBARA (CSW)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:SARAH
Suffix:
Gender:F
Credentials:CSW
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 1756
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12402-1756
Mailing Address - Country:US
Mailing Address - Phone:845-339-9637
Mailing Address - Fax:845-334-3078
Practice Address - Street 1:174 ALBANY AVE
Practice Address - Street 2:#1
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-2530
Practice Address - Country:US
Practice Address - Phone:845-339-9637
Practice Address - Fax:845-334-3078
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY137501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical