Provider Demographics
NPI:1518240266
Name:PARKERSON, SARAH BETH (LICSW)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:BETH
Last Name:PARKERSON
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 1:93 UNION ST STE 320
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-2241
Mailing Address - Country:US
Mailing Address - Phone:617-564-1131
Mailing Address - Fax:617-469-8546
Practice Address - Street 1:93 UNION ST STE 320
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-2241
Practice Address - Country:US
Practice Address - Phone:617-564-1131
Practice Address - Fax:617-469-8546
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-20
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1188121041C0700X
MA2184981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical