Provider Demographics
NPI:1871255059
Name:JOHNSTON, SARAH REBECCA (LCSW, CAGS, SAC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:REBECCA
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:LCSW, CAGS, SAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:491 BERKSHIRE SCHOOL ROAD
Mailing Address - Street 2:
Mailing Address - City:SHEFFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01257
Mailing Address - Country:US
Mailing Address - Phone:413-228-8754
Mailing Address - Fax:
Practice Address - Street 1:491 BERKSHIRE SCHOOL ROAD
Practice Address - Street 2:
Practice Address - City:SHEFFIELD
Practice Address - State:MA
Practice Address - Zip Code:01257
Practice Address - Country:US
Practice Address - Phone:413-228-8754
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA222568101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool