Provider Demographics
NPI:1811562655
Name:HARTY, SARAH NEWHALL (LCSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:NEWHALL
Last Name:HARTY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2949 W LOGAN BLVD UNIT 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-1760
Mailing Address - Country:US
Mailing Address - Phone:716-359-5566
Mailing Address - Fax:
Practice Address - Street 1:2949 W LOGAN BLVD UNIT 2
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-1760
Practice Address - Country:US
Practice Address - Phone:716-359-5566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0232761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical