Provider Demographics
NPI:1982195723
Name:KATZ, SARA (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:KATZ
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:KATZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LICSW
Mailing Address - Street 1:360 FAUNCE CORNER RD UNIT 11
Mailing Address - Street 2:
Mailing Address - City:NORTH DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-6242
Mailing Address - Country:US
Mailing Address - Phone:774-991-5976
Mailing Address - Fax:
Practice Address - Street 1:360 FAUNCE CORNER RD UNIT 11
Practice Address - Street 2:
Practice Address - City:NORTH DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-6242
Practice Address - Country:US
Practice Address - Phone:774-991-5976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-29
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW032041041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical