Provider Demographics
NPI:1609105824
Name:WILLIAMS, SARAH REEVES (LCSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:REEVES
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 N LANCEY ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:PITTSFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04967-4397
Mailing Address - Country:US
Mailing Address - Phone:207-487-6502
Mailing Address - Fax:
Practice Address - Street 1:113 N LANCEY ST
Practice Address - Street 2:SUITE 105
Practice Address - City:PITTSFIELD
Practice Address - State:ME
Practice Address - Zip Code:04967-4397
Practice Address - Country:US
Practice Address - Phone:207-487-6502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-17
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC136301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical