Provider Demographics
NPI:1851437008
Name:SARDO, THOMAS G (MSW)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:G
Last Name:SARDO
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 APPLETON ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-7100
Mailing Address - Country:US
Mailing Address - Phone:781-646-6446
Mailing Address - Fax:
Practice Address - Street 1:350 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-6211
Practice Address - Country:US
Practice Address - Phone:781-283-5750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1056801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAPO3633OtherBLUE CROSS BLUE SHIELD
MASAP3633Medicare ID - Type Unspecified