Provider Demographics
NPI:1922256544
Name:DENNEWITZ, SARAH LADD (MS, MFT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LADD
Last Name:DENNEWITZ
Suffix:
Gender:F
Credentials:MS, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 899
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02813-0899
Mailing Address - Country:US
Mailing Address - Phone:401-364-7705
Mailing Address - Fax:401-364-3310
Practice Address - Street 1:4705 OLD POST RD UNIT A
Practice Address - Street 2:
Practice Address - City:CHARLESTOWN
Practice Address - State:RI
Practice Address - Zip Code:02813-1842
Practice Address - Country:US
Practice Address - Phone:401-364-7705
Practice Address - Fax:401-364-3310
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMFT00138106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1922256544-SD84360Medicaid
RI1922256544OtherUNITED HEALTHCARE
RI497007OtherTRICARE
RI497007OtherMHN
RIGH57134Medicaid
RI1922256544OtherBCBSRI
RI3827866OtherCIGNA