Provider Demographics
NPI:1598212722
Name:MICHALOWSKI, SARAH (DSW, LCSW)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:MICHALOWSKI
Suffix:
Gender:F
Credentials:DSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8A SHALLOW COVE RD
Mailing Address - Street 2:
Mailing Address - City:LAKE HOPATCONG
Mailing Address - State:NJ
Mailing Address - Zip Code:07849-1294
Mailing Address - Country:US
Mailing Address - Phone:551-333-9679
Mailing Address - Fax:
Practice Address - Street 1:8A SHALLOW COVE RD
Practice Address - Street 2:
Practice Address - City:LAKE HOPATCONG
Practice Address - State:NJ
Practice Address - Zip Code:07849-1294
Practice Address - Country:US
Practice Address - Phone:551-333-9679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-06
Last Update Date:2020-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1041S0200X
NJ44SC055139001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool