Provider Demographics
NPI:1750824579
Name:SARA C REEVES
Entity Type:Organization
Organization Name:SARA C REEVES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:C
Authorized Official - Last Name:REEVES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:201-767-7438
Mailing Address - Street 1:19 RIDGE STREET
Mailing Address - Street 2:
Mailing Address - City:ALPINE
Mailing Address - State:NJ
Mailing Address - Zip Code:07620-0913
Mailing Address - Country:US
Mailing Address - Phone:201-767-7438
Mailing Address - Fax:
Practice Address - Street 1:19 RIDGE ST.
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:NJ
Practice Address - Zip Code:07620
Practice Address - Country:US
Practice Address - Phone:201-767-7438
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-28
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC01168900251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management