Provider Demographics
NPI:1760961148
Name:SINGER, SARAH JANE (LICSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JANE
Last Name:SINGER
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 1:1052 SOUTH ST # 3
Mailing Address - Street 2:
Mailing Address - City:ROSLINDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02131-2302
Mailing Address - Country:US
Mailing Address - Phone:617-323-0574
Mailing Address - Fax:
Practice Address - Street 1:322 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-6850
Practice Address - Country:US
Practice Address - Phone:617-734-7794
Practice Address - Fax:617-734-6999
Is Sole Proprietor?:No
Enumeration Date:2018-08-07
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA114755104100000X, 1041C0700X
MA114755-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker