Provider Demographics
NPI:1790371144
Name:CHADWELL, SARAH (LCMHC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:CHADWELL
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:BOOTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:44 READ RD
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495-8101
Mailing Address - Country:US
Mailing Address - Phone:802-556-1984
Mailing Address - Fax:
Practice Address - Street 1:44 READ RD
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495-8101
Practice Address - Country:US
Practice Address - Phone:802-556-1984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-18
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068-0134265101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health