Provider Demographics
NPI:1689265662
Name:SARAH HORN, LICSW
Entity Type:Organization
Organization Name:SARAH HORN, LICSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HORN
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:203-247-1621
Mailing Address - Street 1:15 WEBSTER PL APT 2
Mailing Address - Street 2:
Mailing Address - City:WEST NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02465-1813
Mailing Address - Country:US
Mailing Address - Phone:203-247-1621
Mailing Address - Fax:
Practice Address - Street 1:15 WEBSTER PL APT 2
Practice Address - Street 2:
Practice Address - City:WEST NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02465-1813
Practice Address - Country:US
Practice Address - Phone:203-247-1621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty