Provider Demographics
NPI:1972650877
Name:CLOUD, SARAH ANN (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:CLOUD
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ANN
Other - Last Name:CLOUD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:72 TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:MA
Mailing Address - Zip Code:02359-2801
Mailing Address - Country:US
Mailing Address - Phone:781-829-9029
Mailing Address - Fax:
Practice Address - Street 1:275 SANDWICH ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-2183
Practice Address - Country:US
Practice Address - Phone:508-935-0765
Practice Address - Fax:508-875-2600
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2020-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0103851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical