Provider Demographics
NPI:1699007377
Name:FLEMING, SARAH (LICSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:FLEMING
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 WOODWARD ST UNIT 2
Mailing Address - Street 2:UNIT 2
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02127-2734
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 TREMONT ST
Practice Address - Street 2:UNIT 1111
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02108-5004
Practice Address - Country:US
Practice Address - Phone:515-267-1340
Practice Address - Fax:515-267-1355
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-05
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06577104100000X
MA1172141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker