Provider Demographics
NPI:1639667025
Name:ANDREOTTA, SARAH (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:ANDREOTTA
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:DYMOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:300 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-3694
Mailing Address - Country:US
Mailing Address - Phone:617-676-3366
Mailing Address - Fax:617-676-3426
Practice Address - Street 1:300 SOUTH ST
Practice Address - Street 2:
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-3694
Practice Address - Country:US
Practice Address - Phone:617-676-3366
Practice Address - Fax:617-676-3426
Is Sole Proprietor?:No
Enumeration Date:2018-05-01
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1178771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical