Provider Demographics
NPI:1700235702
Name:GREENBLATT, SARAH (MSW)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:
Last Name:GREENBLATT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 GREYROCK PL
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06901-2006
Mailing Address - Country:US
Mailing Address - Phone:203-324-6127
Mailing Address - Fax:203-353-1524
Practice Address - Street 1:196 GREYROCK PL
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06901-2006
Practice Address - Country:US
Practice Address - Phone:203-324-6127
Practice Address - Fax:203-353-1524
Is Sole Proprietor?:No
Enumeration Date:2016-06-09
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker