Provider Demographics
NPI:1689838534
Name:SHUFF, SARA L (LICSW)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:L
Last Name:SHUFF
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:L
Other - Last Name:SHUFF-HECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:42 BROOKS AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-2404
Mailing Address - Country:US
Mailing Address - Phone:413-236-5656
Mailing Address - Fax:
Practice Address - Street 1:10 WENDELL AVENUE EXT
Practice Address - Street 2:STE 208
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-6283
Practice Address - Country:US
Practice Address - Phone:413-358-3038
Practice Address - Fax:888-802-1262
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1117931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical