Provider Demographics
NPI:1922511393
Name:SARAH LOCKHART-PALLADINO LCSW PC
Entity Type:Organization
Organization Name:SARAH LOCKHART-PALLADINO LCSW PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:LOCKHART-PALLADINO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R
Authorized Official - Phone:518-480-4422
Mailing Address - Street 1:185 BAY ST
Mailing Address - Street 2:
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-2306
Mailing Address - Country:US
Mailing Address - Phone:518-480-4422
Mailing Address - Fax:518-636-5184
Practice Address - Street 1:185 BAY ST
Practice Address - Street 2:
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-2306
Practice Address - Country:US
Practice Address - Phone:518-480-4422
Practice Address - Fax:518-636-5184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-08
Last Update Date:2017-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty