Provider Demographics
NPI:1679722482
Name:PIERCE, SARAH (LMSW-CC)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:
Last Name:PIERCE
Suffix:
Gender:F
Credentials:LMSW-CC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 MAINE ST
Mailing Address - Street 2:SUITE 210 (BOX 49)
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-2049
Mailing Address - Country:US
Mailing Address - Phone:207-798-3922
Mailing Address - Fax:207-798-3944
Practice Address - Street 1:14 MAINE ST
Practice Address - Street 2:SUITE 210 (BOX49)
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2049
Practice Address - Country:US
Practice Address - Phone:207-798-3922
Practice Address - Fax:207-798-3944
Is Sole Proprietor?:No
Enumeration Date:2008-09-17
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMC120251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical