Provider Demographics
NPI:1760703870
Name:FALVEY, SARAH J (LCSW, LADC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:J
Last Name:FALVEY
Suffix:
Gender:F
Credentials:LCSW, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 CUMBERLAND ST
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-5234
Mailing Address - Country:US
Mailing Address - Phone:207-941-1611
Mailing Address - Fax:207-941-1634
Practice Address - Street 1:98 CUMBERLAND ST
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-5234
Practice Address - Country:US
Practice Address - Phone:207-941-1611
Practice Address - Fax:207-941-1634
Is Sole Proprietor?:No
Enumeration Date:2010-06-14
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC5087101YA0400X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)